| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.09 | $121.78 | $143.22 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Kaiser Permanente
| Professional | $83.23 | $122.03 | $183.05 | |
United
| Professional | $96.33 | $131.90 | $229.88 | |
Wellpoint
| Professional | $99.66 | $140.33 | $177.21 |