| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.31 | $22.31 | $22.31 | |
Aetna
| Professional | $21.31 | $23.37 | $28.78 | |
Anthem BCBS
| Professional | $25.32 | $28.95 | $54.53 | |
Cigna
| Professional | $44.04 | $44.04 | $59.19 | |
Kaiser Permanente
| Professional | $27.03 | $47.99 | $68.12 | |
United
| Professional | $22.37 | $31.46 | $85.12 |