| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $12.02 | $12.88 | |
Cigna
| Professional | $12.02 | $12.02 | $12.02 | |
HMSA
| Professional | $12.59 | $12.59 | $12.59 | |
Kaiser Permanente
| Professional | $13.18 | $14.45 | $16.98 | |
United
| Professional | $12.02 | $13.80 | $18.20 |