| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $15.14 | $15.85 | |
Cigna
| Professional | $15.14 | $15.14 | $15.14 | |
HMSA
| Professional | $15.49 | $15.49 | $15.49 | |
Kaiser Permanente
| Professional | $16.60 | $18.20 | $21.38 | |
United
| Professional | $15.14 | $17.78 | $22.91 |