| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.62 | $18.62 | $18.62 | |
Cigna
| Professional | $17.52 | $17.52 | $17.52 | |
HMSA
| Professional | $12.68 | $12.68 | $12.68 | |
United
| Professional | $17.43 | $18.62 | $27.93 | |
University Health Alliance
| Professional | $13.09 | $13.09 | $15.40 |