| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $0.03 | $0.03 | $0.03 | |
HMSA
| Professional | $0.09 | $0.09 | $0.09 | |
Kaiser Permanente
| Professional | $0.03 | $0.03 | $0.04 | |
United
| Professional | $0.03 | $0.03 | $0.05 |