| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.34 | $207.05 | $222.86 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
Kaiser Permanente
| Professional | $266.20 | $337.29 | $583.84 | |
United
| Professional | $300.00 | $300.00 | $360.00 | |
Wellpoint
| Professional | $263.00 | $263.00 | $263.00 |