| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.00 | $5.00 | $6.46 | |
Cigna
| Facility | $4.12 | $4.12 | $4.12 | |
Cigna
| Professional | $4.12 | $4.12 | $4.12 | |
HMSA
| Professional | $5.20 | $5.45 | $5.45 | |
Kaiser Permanente
| Professional | $5.20 | $5.20 | $5.20 | |
United
| Professional | $0.34 | $6.88 | $31.00 |