| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Aetna
| Professional | $12.88 | $16.98 | $24.55 | |
Cigna
| Facility | $26.30 | $26.30 | $26.30 | |
Cigna
| Professional | $8.51 | $13.18 | $32.36 | |
Kaiser Permanente
| Professional | $15.14 | $19.50 | $29.51 | |
United
| Facility | $12.30 | $120.23 | $134.90 | |
United
| Professional | $7.76 | $12.02 | $17.78 |