| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.02 | $3.02 | $3.02 | |
Cigna
| Professional | $6.76 | $9.55 | $12.88 | |
HMSA
| Professional | $10.47 | $10.96 | $10.96 | |
Kaiser Permanente
| Professional | $14.79 | $14.79 | $14.79 | |
United
| Professional | $7.94 | $9.55 | $14.13 |