| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $457.73 | $457.73 | $457.73 | |
HMSA
| Professional | $489.77 | $489.77 | $489.77 | |
United
| Professional | $485.02 | $518.17 | $777.27 | |
University Health Alliance
| Professional | $320.36 | $389.01 | $549.28 |