| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $16.98 | |
Aetna
| Professional | $12.88 | $16.60 | $18.20 | |
Anthem BCBS
| Professional | $16.60 | $22.39 | $30.90 | |
Cigna
| Professional | $22.39 | $25.12 | $26.92 | |
Kaiser Permanente
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Professional | $16.98 | $22.91 | $33.11 |