| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.37 | $17.42 | $22.36 | |
Cigna
| Professional | $22.36 | $22.36 | $22.36 | |
HMSA
| Professional | $16.57 | $19.51 | $23.29 | |
Kaiser Permanente
| Professional | $18.63 | $22.36 | $27.95 | |
United
| Professional | $7.82 | $22.36 | $27.95 |