| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.94 | $368.94 | $492.00 | |
Aetna
| Professional | $30.00 | $38.00 | $714.00 | |
Cigna
| Professional | $250.00 | $360.00 | $471.05 | |
Kaiser Permanente
| Professional | $270.00 | $390.00 | $498.00 | |
United
| Professional | $45.00 | $60.00 | $90.25 | |
Wellpoint
| Professional | $103.38 | $103.38 | $150.00 |