| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
Aetna
| Professional | $1.00 | $1.00 | $1.20 | |
Cigna
| Professional | $0.72 | $0.72 | $0.72 | |
HMSA
| Professional | $1.07 | $1.07 | $1.07 | |
Kaiser Permanente
| Professional | $0.79 | $0.87 | $1.02 | |
United
| Professional | $0.81 | $1.10 | $1.45 |