| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.64 | $19.64 | $19.64 | |
Aetna
| Professional | $16.27 | $21.01 | $24.02 | |
Cigna
| Professional | $23.45 | $23.45 | $28.10 | |
Kaiser Permanente
| Professional | $37.09 | $49.14 | $63.18 | |
United
| Professional | $18.19 | $22.84 | $39.21 |