| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $7.94 | $8.91 | |
Cigna
| Facility | $15.49 | $15.49 | $28.18 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
Kaiser Permanente
| Professional | $1.95 | $1.95 | $1.95 | |
United
| Facility | $7.94 | $10.00 | $34.67 | |
United
| Professional | $7.08 | $11.75 | $18.20 |