| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $0.02 | $0.02 | $0.33 | |
HMSA
| Professional | $0.28 | $0.28 | $0.28 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $0.02 | $0.02 | $0.28 |