| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $10.00 | $12.88 | |
Cigna
| Professional | $5.89 | $5.89 | $13.18 | |
HMSA
| Professional | $13.80 | $14.45 | $14.45 | |
Kaiser Permanente
| Professional | $19.05 | $19.05 | $19.05 | |
United
| Professional | $4.79 | $7.59 | $14.79 |