| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.64 | $9.64 | $9.64 | |
Aetna
| Professional | $6.20 | $9.64 | $9.64 | |
Cigna
| Professional | $9.07 | $9.07 | $15.72 | |
Kaiser Permanente
| Professional | $10.81 | $12.72 | $26.18 | |
United
| Professional | $5.82 | $8.72 | $14.91 |