| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.39 | $14.39 | $14.39 | |
Aetna
| Professional | $14.09 | $15.78 | $18.59 | |
Cigna
| Professional | $15.77 | $15.77 | $34.35 | |
Kaiser Permanente
| Professional | $17.35 | $17.35 | $30.34 | |
United
| Professional | $16.26 | $22.78 | $36.09 |