| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.21 | $7.21 | $7.21 | |
Cigna
| Facility | $10.39 | $10.39 | $10.39 | |
Cigna
| Professional | $11.23 | $11.23 | $11.23 | |
Kaiser Permanente
| Professional | $12.53 | $12.53 | $12.53 | |
United
| Professional | $9.44 | $10.39 | $14.94 |