| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $28.84 | $42.66 | |
Aetna
| Professional | $12.88 | $14.13 | $41.69 | |
Cigna
| Facility | $14.79 | $14.79 | $14.79 | |
Kaiser Permanente
| Professional | $45.71 | $45.71 | $45.71 | |
United
| Professional | $13.18 | $15.85 | $19.95 |