| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.67 | $28.67 | $28.67 | |
Aetna
| Professional | $20.04 | $27.52 | $33.64 | |
Anthem BCBS
| Professional | $11.29 | $29.28 | $37.72 | |
Cigna
| Professional | $34.19 | $40.96 | $197.15 | |
Kaiser Permanente
| Professional | $32.59 | $41.64 | $108.63 | |
United
| Professional | $5.00 | $7.25 | $22.93 |