| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.60 | $95.40 | $197.13 | |
Aetna
| Professional | $10.00 | $15.00 | $32.54 | |
Kaiser Permanente
| Professional | $32.18 | $35.67 | $41.27 | |
United
| Professional | $14.53 | $16.59 | $32.32 |