| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.78 | $84.95 | $125.20 | |
Cigna
| Professional | $107.80 | $118.80 | $288.00 | |
Kaiser Permanente
| Professional | $213.00 | $233.00 | $238.00 | |
United
| Professional | $42.08 | $42.08 | $42.08 | |
Wellpoint
| Professional | $90.00 | $90.00 | $90.00 |