| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.32 | $132.69 | $214.75 | |
Aetna
| Professional | $26.32 | $26.32 | $33.52 | |
Cigna
| Facility | $57.03 | $59.31 | $127.37 | |
Cigna
| Professional | $18.45 | $18.45 | $36.74 | |
Kaiser Permanente
| Professional | $40.35 | $71.33 | $71.33 | |
United
| Professional | $14.74 | $21.05 | $76.54 |