| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.08 | $10.00 | $19.05 | |
Cigna
| Professional | $7.41 | $16.98 | $22.91 | |
HMSA
| Professional | $18.20 | $18.20 | $19.05 | |
Kaiser Permanente
| Professional | $25.70 | $25.70 | $25.70 | |
United
| Professional | $5.13 | $8.91 | $19.95 |