| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $81.28 | $97.72 | |
Aetna
| Professional | $35.48 | $39.81 | $93.33 | |
Cigna
| Facility | $43.65 | $43.65 | $43.65 | |
Kaiser Permanente
| Professional | $56.23 | $56.23 | $56.23 | |
United
| Professional | $38.02 | $42.66 | $51.29 |