| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.48 | $10.48 | $25.36 | |
Aetna
| Professional | $9.78 | $10.48 | $14.40 | |
Cigna
| Professional | $10.82 | $35.90 | $114.99 | |
Kaiser Permanente
| Professional | $14.55 | $15.61 | $15.61 | |
United
| Professional | $20.00 | $20.00 | $20.00 |