| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.02 | $3.02 | $3.02 | |
Cigna
| Professional | $0.13 | $0.13 | $0.40 | |
HMSA
| Professional | $0.04 | $0.04 | $0.04 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $0.10 | $0.13 | $0.16 |