| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $2.19 | $7.94 | $8.32 | |
Cigna
| Facility | $8.32 | $8.32 | $8.32 | |
Kaiser Permanente
| Professional | $5.37 | $5.37 | $5.37 | |
United
| Professional | $8.13 | $8.13 | $13.18 |