| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $12.02 | |
Cigna
| Professional | $10.47 | $10.47 | $12.02 | |
HMSA
| Professional | $9.77 | $9.77 | $9.77 | |
Kaiser Permanente
| Professional | $10.47 | $12.59 | $15.49 | |
United
| Professional | $10.47 | $10.96 | $12.59 |