| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $25.12 | $25.12 | $25.12 | |
Anthem BCBS
| Professional | $26.30 | $26.92 | $27.54 | |
Cigna
| Professional | $7.59 | $7.59 | $7.59 | |
Kaiser Permanente
| Professional | $42.66 | $43.65 | $43.65 | |
United
| Professional | $37.15 | $37.15 | $37.15 |