| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.00 | $17.00 | $22.00 | |
Kaiser Permanente
| Professional | $8.00 | $13.00 | $13.00 | |
United
| Professional | $0.11 | $0.27 | $0.28 | |
Wellpoint
| Professional | $0.99 | $0.99 | $0.99 |