| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.05 | $18.05 | $147.37 | |
Aetna
| Professional | $18.05 | $18.05 | $18.05 | |
Cigna
| Facility | $39.13 | $40.69 | $88.09 | |
Cigna
| Professional | $25.13 | $25.13 | $31.41 | |
Kaiser Permanente
| Professional | $48.95 | $48.95 | $48.95 | |
United
| Professional | $13.87 | $14.86 | $21.91 |