| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $11.97 | $11.97 | $11.97 | |
HMSA
| Professional | $20.91 | $20.91 | $20.91 | |
United
| Professional | $46.44 | $51.46 | $77.19 | |
University Health Alliance
| Professional | $15.40 | $15.40 | $15.40 |