| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.02 | $75.25 | $83.54 | |
Kaiser Permanente
| Professional | $69.04 | $82.52 | $114.64 | |
United
| Professional | $64.52 | $86.25 | $134.60 | |
Wellpoint
| Professional | $56.93 | $56.93 | $56.93 |