| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $255.00 | $255.00 | $255.00 | |
HMSA
| Professional | $224.36 | $224.36 | $224.36 | |
United
| Professional | $234.00 | $234.00 | $375.00 | |
University Health Alliance
| Professional | $85.00 | $152.11 | $217.30 |