| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.37 | $0.37 | |
Aetna
| Professional | $0.36 | $0.37 | $0.37 | |
Anthem BCBS
| Professional | $3.17 | $4.04 | $4.04 | |
Kaiser Permanente
| Professional | $48.00 | $48.00 | $74.00 | |
United
| Professional | $4.25 | $4.25 | $4.48 |