| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.32 | $15.32 | $15.32 | |
Aetna
| Professional | $10.09 | $14.95 | $18.48 | |
Cigna
| Facility | $21.25 | $21.25 | $21.25 | |
Cigna
| Professional | $5.93 | $11.26 | $32.11 | |
Kaiser Permanente
| Professional | $14.09 | $17.91 | $30.54 | |
United
| Professional | $4.98 | $10.14 | $15.07 |