| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.19 | $2.19 | $2.19 | |
Aetna
| Professional | $1.00 | $1.00 | $2.29 | |
Ambetter
| Professional | $5.13 | $5.13 | $5.13 | |
Anthem BCBS
| Professional | $0.38 | $0.38 | $0.50 | |
Kaiser Permanente
| Professional | $19.95 | $19.95 | $33.11 | |
United
| Professional | $1.05 | $1.05 | $1.12 |