| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $12.88 | $14.13 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
HMSA
| Professional | $19.50 | $19.50 | $19.50 | |
Kaiser Permanente
| Professional | $14.45 | $15.85 | $18.62 | |
United
| Professional | $14.79 | $19.95 | $28.18 |