| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.53 | $229.09 | $295.12 | |
Cigna
| Professional | $173.78 | $263.03 | $562.34 | |
Kaiser Permanente
| Professional | $245.47 | $275.42 | $501.19 | |
United
| Professional | $190.55 | $275.42 | $467.74 | |
Wellpoint
| Professional | $416.87 | $416.87 | $416.87 |