| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.20 | $14.96 | $19.20 | |
Cigna
| Professional | $19.20 | $19.20 | $19.20 | |
HMSA
| Professional | $17.93 | $21.09 | $25.18 | |
Kaiser Permanente
| Professional | $16.00 | $19.20 | $24.00 | |
United
| Professional | $6.72 | $19.20 | $24.00 |