| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.02 | $25.70 | $25.70 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Kaiser Permanente
| Professional | $15.85 | $15.85 | $15.85 | |
United
| Facility | $11.22 | $11.22 | $11.22 | |
United
| Professional | $11.22 | $15.85 | $33.11 |