| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $8.91 | $10.00 | $10.00 | |
Cigna
| Facility | $10.00 | $10.00 | $10.00 | |
Kaiser Permanente
| Professional | $4.07 | $4.07 | $4.07 | |
United
| Professional | $9.77 | $9.77 | $15.85 |