| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.05 | $1.05 | $1.05 | |
Aetna
| Professional | $1.05 | $1.05 | $1.05 | |
Anthem BCBS
| Professional | $0.45 | $0.53 | $0.53 | |
Kaiser Permanente
| Professional | $2.00 | $2.00 | $3.00 | |
United
| Professional | $43.60 | $65.40 | $109.00 |