| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.76 | $23.76 | $23.76 | |
Aetna
| Professional | $21.25 | $26.89 | $38.76 | |
Cigna
| Professional | $18.97 | $18.97 | $44.06 | |
Kaiser Permanente
| Professional | $24.82 | $24.82 | $49.64 | |
United
| Professional | $23.49 | $33.75 | $54.00 |