| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $16.98 | $19.05 | |
Cigna
| Professional | $17.38 | $17.38 | $17.38 | |
HMSA
| Professional | $18.20 | $18.20 | $18.20 | |
Kaiser Permanente
| Professional | $19.05 | $20.89 | $24.55 | |
United
| Professional | $17.38 | $26.30 | $26.30 |