| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.17 | $1.17 | $1.17 | |
Aetna
| Professional | $0.75 | $1.17 | $1.17 | |
Cigna
| Facility | $1.10 | $1.10 | $1.10 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
Kaiser Permanente
| Professional | $1.46 | $3.17 | $3.17 | |
United
| Professional | $235.83 | $235.83 | $382.23 |