| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.18 | $30.68 | $37.90 | |
Cigna
| Facility | $43.99 | $43.99 | $43.99 | |
Cigna
| Professional | $12.86 | $23.32 | $72.84 | |
Kaiser Permanente
| Professional | $29.17 | $37.07 | $63.21 | |
United
| Facility | $21.84 | $21.84 | $21.84 | |
United
| Professional | $12.36 | $20.98 | $31.20 |