| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.99 | $1.00 | |
Aetna
| Facility | 50 | $0.98 | $0.98 | $0.98 |
Cigna
| Facility | $330.00 | $339.05 | $574.36 | |
Kaiser Permanente
| Professional | $71.67 | $94.09 | $128.97 | |
United
| Facility | $123.00 | $123.00 | $158.00 |