| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $8.57 | $8.57 | $8.57 | |
HMSA
| Professional | $12.68 | $12.68 | $12.68 | |
United
| Professional | $17.57 | $18.77 | $28.16 | |
University Health Alliance
| Professional | $9.83 | $9.83 | $9.83 |