| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $67.89 | $67.89 | $67.89 | |
HMSA
| Professional | $4.33 | $4.33 | $4.33 | |
United
| Professional | $40.19 | $66.56 | $99.84 | |
University Health Alliance
| Professional | $0.20 | $18.35 | $24.55 |