| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.57 | $7.57 | $7.57 | |
Aetna
| Professional | $7.57 | $7.57 | $9.17 | |
Cigna
| Professional | $6.77 | $6.77 | $6.77 | |
Kaiser Permanente
| Professional | $6.57 | $7.57 | $7.57 | |
United
| Professional | $7.57 | $7.57 | $8.02 | |
Wellpoint
| Professional | $7.57 | $7.57 | $7.57 |