| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $201.54 | $213.36 | $223.20 | |
Cigna
| Professional | $189.90 | $262.81 | $564.23 | |
Kaiser Permanente
| Professional | $221.06 | $285.17 | $495.59 | |
United
| Professional | $188.40 | $269.14 | $419.16 | |
Wellpoint
| Professional | $416.70 | $416.70 | $416.70 |