| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $91.14 | $195.37 | |
Aetna
| Professional | $9.75 | $17.26 | $34.20 | |
Kaiser Permanente
| Professional | $32.18 | $35.67 | $41.27 | |
United
| Professional | $14.53 | $18.17 | $32.32 |