| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.98 | $20.92 | $21.20 | |
Cigna
| Facility | $14.98 | $19.75 | $36.59 | |
Cigna
| Professional | $14.86 | $14.98 | $36.56 | |
Kaiser Permanente
| Professional | $28.27 | $35.34 | $42.41 | |
United
| Professional | $12.72 | $14.66 | $22.90 | |
Wellpoint
| Professional | $11.03 | $13.96 | $14.14 |