| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $13.80 | $8,912.51 | |
Aetna
| Professional | $5.01 | $5.01 | $50.12 | |
Cigna
| Professional | $147.91 | $147.91 | $162.18 | |
Kaiser Permanente
| Professional | $138.04 | $151.36 | $186.21 | |
United
| Professional | $125.89 | $125.89 | $151.36 |