| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.00 | $21.00 | $21.00 | |
Anthem BCBS
| Professional | $0.99 | $0.99 | $0.99 | |
Kaiser Permanente
| Professional | $12.00 | $13.00 | $13.00 | |
Medcost
| Facility | $1.25 | $1.25 | $1.79 | |
Medcost
| Professional | $1.94 | $1.94 | $1.94 | |
United
| Professional | $0.17 | $0.27 | $0.28 |