| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $403.06 | $426.68 | $446.07 | |
Cigna
| Professional | $379.50 | $525.20 | $1,127.63 | |
Kaiser Permanente
| Professional | $441.76 | $569.87 | $990.47 | |
United
| Professional | $380.70 | $550.79 | $836.83 | |
Wellpoint
| Professional | $883.40 | $883.40 | $883.40 |