| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.49 | $12.49 | $12.62 | |
Cigna
| Professional | $12.49 | $14.98 | $14.98 | |
HMSA
| Professional | $16.60 | $19.07 | $21.94 | |
Kaiser Permanente
| Professional | $13.74 | $14.99 | $17.48 | |
United
| Professional | $12.49 | $13.48 | $18.73 |