| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.80 | $3.80 | $3.80 | |
Aetna
| Professional | $2.44 | $3.80 | $3.80 | |
Cigna
| Facility | $3.57 | $3.57 | $3.57 | |
Cigna
| Professional | $3.57 | $3.57 | $3.57 | |
Kaiser Permanente
| Professional | $4.76 | $10.31 | $10.31 | |
United
| Professional | $2.29 | $4.63 | $7.19 |