| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.57 | $87.57 | $400.00 | |
Cigna
| Professional | $105.60 | $144.00 | $512.00 | |
Kaiser Permanente
| Professional | $591.00 | $660.00 | $768.00 | |
United
| Professional | $80.56 | $80.56 | $80.56 | |
Wellpoint
| Professional | $68.44 | $68.44 | $68.44 |