| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.60 | $16.60 | $16.60 | |
Aetna
| Professional | $14.13 | $15.85 | $28.18 | |
Kaiser Permanente
| Professional | $28.18 | $28.18 | $28.18 | |
United
| Professional | $32.36 | $33.88 | $37.15 |