| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $10.96 | $12.02 | |
Cigna
| Professional | $11.48 | $11.48 | $11.48 | |
HMSA
| Professional | $11.48 | $11.48 | $13.49 | |
Kaiser Permanente
| Professional | $12.59 | $13.80 | $16.22 | |
United
| Professional | $11.48 | $13.80 | $17.38 |