| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $5.37 | $57.54 | |
Aetna
| Professional | $1.00 | $1.00 | $2.34 | |
Cigna
| Facility | $1.45 | $1.45 | $1.45 | |
Kaiser Permanente
| Professional | $8.32 | $8.32 | $8.32 | |
United
| Professional | $1.41 | $1.41 | $2.29 |