| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.83 | $0.83 | $0.83 | |
Aetna
| Professional | $0.83 | $0.83 | $0.83 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Kaiser Permanente
| Professional | $2.38 | $2.38 | $2.38 | |
United
| Professional | $0.65 | $1.24 | $2.91 |