| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.06 | $60.45 | $72.43 | |
Cigna
| Professional | $93.02 | $93.02 | $111.44 | |
Kaiser Permanente
| Professional | $73.09 | $89.33 | $121.81 | |
United
| Professional | $38.04 | $55.63 | $85.88 | |
Wellpoint
| Professional | $67.28 | $67.28 | $67.28 |