| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.34 | $12.85 | $16.48 | |
Cigna
| Professional | $16.48 | $16.48 | $16.48 | |
HMSA
| Professional | $5.59 | $5.59 | $5.59 | |
Kaiser Permanente
| Professional | $13.74 | $16.48 | $20.61 | |
United
| Professional | $5.77 | $16.48 | $20.61 |