| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.00 | $18.00 | $22.00 | |
Kaiser Permanente
| Professional | $8.00 | $14.00 | $14.00 | |
United
| Professional | $0.27 | $0.68 | $0.71 | |
Wellpoint
| Professional | $0.02 | $0.02 | $0.02 |