| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.11 | $47.67 | $55.33 | |
Cigna
| Professional | $64.00 | $64.00 | $76.68 | |
Kaiser Permanente
| Professional | $49.16 | $61.67 | $83.11 | |
United
| Professional | $35.50 | $50.04 | $78.22 | |
Wellpoint
| Professional | $53.70 | $53.70 | $53.70 |