| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.46 | $42.46 | $42.46 | |
Aetna
| Professional | $32.07 | $47.09 | $48.77 | |
Cigna
| Professional | $28.33 | $28.33 | $30.85 | |
Kaiser Permanente
| Professional | $30.85 | $38.24 | $73.62 | |
United
| Professional | $31.98 | $44.94 | $86.49 |