| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $12.02 | $12.88 | $13.49 | |
Cigna
| Professional | $4.79 | $13.49 | $13.49 | |
Kaiser Permanente
| Professional | $3.72 | $3.98 | $7.59 | |
United
| Facility | $2.63 | $2.63 | $2.63 | |
United
| Professional | $2.00 | $2.63 | $4.47 |