| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.66 | $0.66 | $0.66 | |
Aetna
| Professional | $0.66 | $0.66 | $0.78 | |
Cigna
| Professional | $0.66 | $0.66 | $0.66 | |
Kaiser Permanente
| Professional | $2.00 | $2.00 | $2.00 | |
United
| Professional | $0.67 | $0.67 | $0.97 |