| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $19.32 | $19.32 | $19.32 | |
Kaiser Permanente
| Professional | $34.00 | $37.00 | $38.00 | |
Wellpoint
| Professional | $10.00 | $22.44 | $22.44 |