| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.31 | $0.39 | $0.56 | |
Cigna
| Facility | $0.83 | $0.83 | $0.83 | |
Cigna
| Professional | $1.11 | $1.11 | $1.43 | |
HMSA
| Professional | $0.75 | $0.79 | $0.79 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $0.27 | $0.43 | $1.01 |