| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.59 | $7.59 | $7.59 | |
Aetna
| Professional | $7.08 | $7.08 | $12.88 | |
Cigna
| Professional | $6.76 | $6.76 | $6.76 | |
Kaiser Permanente
| Professional | $6.46 | $7.59 | $7.94 | |
United
| Facility | $7.59 | $7.59 | $7.59 | |
United
| Professional | $7.59 | $7.59 | $8.32 | |
Wellpoint
| Professional | $7.59 | $7.59 | $7.59 |