| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.76 | $5.76 | $64.77 | |
Aetna
| Professional | $4.80 | $7.97 | $64.77 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 | |
Kaiser Permanente
| Professional | $61.84 | $65.09 | $137.76 | |
United
| Professional | $46.19 | $69.25 | $174.45 |