| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.28 | $36.10 | $36.10 | |
Cigna
| Professional | $18.97 | $18.97 | $44.52 | |
Kaiser Permanente
| Professional | $25.27 | $29.26 | $54.74 | |
United
| Facility | $18.20 | $18.20 | $18.20 | |
United
| Professional | $18.20 | $23.40 | $66.95 |