| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.66 | $22.39 | $120.23 | |
Aetna
| Professional | $1.86 | $4.90 | $4.90 | |
Cigna
| Facility | $0.71 | $0.71 | $0.71 | |
Kaiser Permanente
| Professional | $0.76 | $0.76 | $0.76 | |
United
| Professional | $0.71 | $0.71 | $1.12 |