| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $15.14 | $20.89 | |
Cigna
| Professional | $12.88 | $12.88 | $21.88 | |
Kaiser Permanente
| Professional | $16.60 | $19.50 | $22.91 | |
United
| Professional | $15.14 | $18.62 | $28.84 |