| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.08 | $11.43 | $14.66 | |
Aetna
| Professional | $13.44 | $14.27 | $76.62 | |
Cigna
| Professional | $9.61 | $9.61 | $9.61 | |
HMSA
| Professional | $19.79 | $24.78 | $28.88 | |
Kaiser Permanente
| Professional | $13.44 | $14.66 | $17.11 | |
United
| Professional | $14.66 | $17.84 | $23.71 |