| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.29 | $9.63 | $13.72 | |
Kaiser Permanente
| Professional | $21.00 | $21.00 | $22.00 | |
United
| Professional | $10.00 | $10.00 | $10.00 | |
Wellpoint
| Professional | $1.08 | $1.08 | $1.08 |