| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.22 | $13.49 | $16.60 | |
Aetna
| Professional | $7.94 | $10.00 | $12.88 | |
Cigna
| Professional | $16.60 | $16.60 | $16.60 | |
HMSA
| Professional | $5.62 | $5.62 | $5.62 | |
Kaiser Permanente
| Professional | $13.80 | $16.60 | $20.42 | |
United
| Professional | $5.75 | $15.14 | $20.42 |