| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $30.20 | $42.66 | |
Cigna
| Facility | $7.59 | $7.59 | $45.71 | |
Cigna
| Professional | $12.88 | $22.91 | $56.23 | |
Kaiser Permanente
| Professional | $26.92 | $34.67 | $52.48 | |
United
| Facility | $21.88 | $60.26 | $66.07 | |
United
| Professional | $12.02 | $20.89 | $30.90 |