| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.51 | $10.78 | $13.84 | |
Cigna
| Professional | $13.84 | $13.84 | $13.84 | |
HMSA
| Professional | $10.26 | $12.07 | $14.41 | |
Kaiser Permanente
| Professional | $11.53 | $13.84 | $17.30 | |
United
| Professional | $4.84 | $13.84 | $17.30 |