| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.20 | $16.09 | $20.65 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
HMSA
| Professional | $16.22 | $19.45 | $21.51 | |
Kaiser Permanente
| Professional | $18.93 | $20.65 | $24.09 | |
United
| Professional | $17.21 | $20.65 | $25.82 |