| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.00 | $16.00 | $16.00 | |
Aetna
| Professional | $1.18 | $20.00 | $26.47 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Kaiser Permanente
| Professional | $8.00 | $16.00 | $16.00 | |
United
| Professional | $11.84 | $16.00 | $28.07 |