| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Kaiser Permanente
| Professional | $10.00 | $10.00 | $10.00 | |
United
| Professional | $8.42 | $8.42 | $8.42 |