| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.39 | $17.45 | $22.39 | |
Cigna
| Professional | $22.39 | $22.39 | $22.39 | |
HMSA
| Professional | $16.61 | $19.54 | $23.33 | |
Kaiser Permanente
| Professional | $18.66 | $22.39 | $27.99 | |
United
| Professional | $7.84 | $22.39 | $27.99 |