| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.08 | $0.08 | $0.09 | |
Cigna
| Professional | $0.04 | $0.09 | $0.15 | |
HMSA
| Professional | $0.04 | $0.04 | $0.04 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $0.04 | $0.08 | $0.12 |