| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.92 | $16.91 | $21.71 | |
Cigna
| Professional | $21.71 | $21.71 | $21.71 | |
HMSA
| Professional | $21.47 | $25.74 | $28.48 | |
Kaiser Permanente
| Professional | $18.09 | $21.71 | $27.14 | |
United
| Professional | $7.60 | $21.71 | $27.14 |