| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $73.42 | $73.42 | $73.42 | |
HMSA
| Professional | $81.20 | $81.20 | $81.20 | |
United
| Professional | $66.73 | $71.98 | $107.97 | |
University Health Alliance
| Professional | $54.42 | $60.20 | $71.75 |