| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.30 | $0.30 | $0.30 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $2.71 | $2.71 | $2.71 | |
Kaiser Permanente
| Professional | $38.00 | $38.00 | $52.00 | |
United
| Professional | $7.12 | $7.12 | $7.12 | |
Wellpoint
| Professional | $7.12 | $8.55 | $8.55 |