| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $28.18 | $38.02 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $19.05 | $19.05 | $19.05 | |
Kaiser Permanente
| Professional | $20.42 | $26.92 | $37.15 | |
United
| Facility | $15.14 | $18.20 | $33.88 | |
United
| Professional | $18.62 | $25.70 | $43.65 |