| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.19 | $19.19 | $19.19 | |
Cigna
| Professional | $11.89 | $11.89 | $11.89 | |
HMSA
| Professional | $22.26 | $22.26 | $22.26 | |
United
| Professional | $23.19 | $25.74 | $38.61 | |
University Health Alliance
| Professional | $11.89 | $11.89 | $11.89 |