| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $6.76 | $10.96 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
HMSA
| Professional | $10.47 | $12.59 | $13.18 | |
Kaiser Permanente
| Professional | $11.22 | $13.49 | $16.98 | |
United
| Professional | $4.57 | $7.08 | $13.18 |