| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
Cigna
| Facility | $3.31 | $3.31 | $3.31 | |
Cigna
| Professional | $3.55 | $3.55 | $6.31 | |
HMSA
| Professional | $0.11 | $0.12 | $0.12 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $1.07 | $1.62 | $4.90 |