| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.26 | $13.89 | $17.82 | |
Aetna
| Professional | $7.88 | $7.88 | $7.88 | |
Cigna
| Professional | $17.82 | $17.82 | $17.82 | |
HMSA
| Professional | $14.00 | $16.79 | $18.57 | |
Kaiser Permanente
| Professional | $16.35 | $17.82 | $20.80 | |
United
| Professional | $14.86 | $17.82 | $22.29 |