| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.18 | $17.20 | $22.08 | |
Cigna
| Professional | $22.08 | $22.08 | $22.08 | |
HMSA
| Professional | $16.38 | $19.27 | $23.00 | |
Kaiser Permanente
| Professional | $18.39 | $22.08 | $27.60 | |
United
| Professional | $7.73 | $22.08 | $27.60 |