| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $1.35 | $2.00 | $3.02 | |
Cigna
| Facility | $2.45 | $2.45 | $2.45 | |
Kaiser Permanente
| Professional | $6.03 | $6.03 | $6.03 | |
United
| Facility | $1.35 | $1.35 | $1.35 | |
United
| Professional | $2.29 | $2.40 | $3.72 |