| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.23 | $1.54 | $2.22 | |
Cigna
| Facility | $3.32 | $3.32 | $3.32 | |
Cigna
| Professional | $3.53 | $3.53 | $7.62 | |
HMSA
| Professional | $0.11 | $0.12 | $0.12 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $1.06 | $1.73 | $5.45 |