| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.69 | $51.55 | $56.68 | |
Kaiser Permanente
| Professional | $52.53 | $62.76 | $84.63 | |
United
| Professional | $43.42 | $60.15 | $97.05 | |
Wellpoint
| Professional | $53.70 | $53.70 | $53.70 |