| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.25 | $16.14 | $20.72 | |
Cigna
| Professional | $20.72 | $20.72 | $20.72 | |
HMSA
| Professional | $15.37 | $18.07 | $21.59 | |
Kaiser Permanente
| Professional | $17.27 | $20.72 | $25.91 | |
United
| Professional | $7.25 | $20.72 | $25.91 |