| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.60 | $91.14 | $112.22 | |
Aetna
| Professional | $9.88 | $10.00 | $34.88 | |
Kaiser Permanente
| Professional | $32.18 | $35.67 | $41.27 | |
United
| Professional | $14.80 | $20.71 | $32.32 |