| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $63.43 | $63.43 | $63.43 | |
HMSA
| Professional | $71.01 | $71.01 | $71.01 | |
United
| Professional | $117.14 | $125.15 | $187.73 | |
University Health Alliance
| Professional | $70.43 | $70.43 | $70.43 |