| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $46.77 | $69.18 | |
Cigna
| Professional | $38.02 | $52.48 | $69.18 | |
Kaiser Permanente
| Professional | $39.81 | $51.29 | $67.61 | |
United
| Facility | $54.95 | $54.95 | $54.95 | |
United
| Professional | $39.81 | $57.54 | $85.11 | |
Wellpoint
| Professional | $50.12 | $53.70 | $77.62 |