| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.08 | $7.94 | $27.54 | |
Cigna
| Professional | $3.72 | $3.72 | $4.68 | |
Kaiser Permanente
| Professional | $7.59 | $7.59 | $7.59 | |
United
| Professional | $7.08 | $12.30 | $25.70 |