| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.27 | $33.27 | $33.27 | |
Aetna
| Professional | $11.10 | $14.40 | $16.14 | |
Cigna
| Professional | $13.36 | $42.87 | $114.34 | |
Kaiser Permanente
| Professional | $17.32 | $21.18 | $29.53 |