| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $3.98 | $7.94 | |
Cigna
| Professional | $5.25 | $10.23 | $13.80 | |
HMSA
| Professional | $11.22 | $11.22 | $11.75 | |
Kaiser Permanente
| Professional | $15.49 | $15.49 | $15.49 | |
United
| Professional | $2.88 | $5.01 | $10.96 |