| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.73 | $16.73 | $16.73 | |
Aetna
| Professional | $15.46 | $16.73 | $18.59 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Kaiser Permanente
| Professional | $11.90 | $14.64 | $39.07 | |
United
| Professional | $14.40 | $26.64 | $41.24 |