| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $71.12 | |
Cigna
| Professional | $14.84 | $73.00 | $180.06 | |
Kaiser Permanente
| Professional | $119.00 | $130.00 | $133.00 | |
United
| Professional | $10.05 | $10.05 | $10.05 | |
Wellpoint
| Professional | $68.44 | $68.44 | $68.44 |