| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.69 | $34.93 | $44.50 | |
Cigna
| Facility | $118.29 | $118.29 | $118.29 | |
Cigna
| Professional | $36.29 | $36.29 | $36.29 | |
Kaiser Permanente
| Professional | $40.72 | $52.93 | $79.91 | |
United
| Professional | $26.78 | $32.22 | $57.89 |