| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $10.96 | $12.02 | |
Cigna
| Professional | $11.22 | $11.22 | $11.22 | |
HMSA
| Professional | $12.30 | $12.30 | $12.30 | |
Kaiser Permanente
| Professional | $12.30 | $13.49 | $15.49 | |
United
| Professional | $11.22 | $13.18 | $16.60 |