| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.78 | $13.26 | $13.58 | |
Cigna
| Facility | $4.15 | $4.15 | $4.15 | |
Cigna
| Professional | $3.98 | $13.58 | $13.58 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $1.33 | $2.17 | $6.35 |