| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.93 | $9.93 | $9.93 | |
Aetna
| Professional | $6.39 | $9.93 | $10.92 | |
Cigna
| Facility | $9.35 | $9.35 | $9.35 | |
Cigna
| Professional | $9.35 | $9.35 | $9.35 | |
Kaiser Permanente
| Professional | $12.45 | $13.11 | $26.97 | |
United
| Professional | $5.80 | $7.87 | $10.14 |