| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $233.13 | $489.59 | |
Aetna
| Professional | $11.84 | $18.39 | $18.39 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
Kaiser Permanente
| Professional | $23.08 | $49.98 | $49.98 | |
United
| Professional | $20.38 | $20.38 | $33.03 |