| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.21 | $6.37 | $9.16 | |
Cigna
| Facility | $13.71 | $13.71 | $13.71 | |
Cigna
| Professional | $9.07 | $9.07 | $15.72 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $4.38 | $7.15 | $22.20 |