| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.30 | $14.79 | $17.78 | |
Aetna
| Professional | $7.94 | $12.02 | $18.20 | |
Cigna
| Professional | $17.78 | $17.78 | $17.78 | |
HMSA
| Professional | $14.79 | $17.38 | $18.62 | |
Kaiser Permanente
| Professional | $16.22 | $17.78 | $22.39 | |
United
| Professional | $7.41 | $14.79 | $22.39 |