| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.11 | $0.11 | $0.11 | |
Cigna
| Professional | $10.60 | $10.60 | $10.73 | |
Kaiser Permanente
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Facility | $16.80 | $16.80 | $16.80 | |
United
| Professional | $16.80 | $25.46 | $56.88 |