| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $18.20 | $19.95 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
Kaiser Permanente
| Professional | $20.42 | $22.39 | $25.70 | |
United
| Professional | $18.62 | $20.42 | $27.54 |