| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.99 | |
Aetna
| Professional | $47.86 | $47.86 | $1,456.81 | |
Cigna
| Professional | $7.60 | $7.60 | $7.60 | |
Kaiser Permanente
| Professional | $457.00 | $457.00 | $988.00 |