| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $0.28 | $0.28 | $0.28 | |
HMSA
| Professional | $0.23 | $0.24 | $0.24 | |
United
| Professional | $0.11 | $0.18 | $0.27 | |
University Health Alliance
| Professional | $0.34 | $0.35 | $0.36 |