| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.21 | $4.21 | $4.21 | |
Aetna
| Professional | $4.21 | $4.21 | $4.21 | |
Cigna
| Professional | $4.21 | $4.21 | $4.21 | |
Kaiser Permanente
| Professional | $4.46 | $4.46 | $4.46 | |
United
| Professional | $4.13 | $4.13 | $4.95 |