| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.17 | $147.22 | $452.88 | |
Aetna
| Professional | $0.17 | $0.17 | $0.23 | |
Cigna
| Professional | $0.17 | $0.17 | $0.22 | |
Kaiser Permanente
| Professional | $0.17 | $0.17 | $2.02 | |
United
| Professional | $0.17 | $0.17 | $0.20 | |
Wellpoint
| Professional | $0.16 | $0.16 | $0.16 |