| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.30 | $19.30 | $19.30 | |
Aetna
| Professional | $9.56 | $19.30 | $19.30 | |
Cigna
| Facility | $116.38 | $178.80 | $211.72 | |
Kaiser Permanente
| Professional | $10.70 | $12.66 | $25.27 | |
United
| Professional | $7.63 | $13.63 | $35.35 |