| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.57 | $166.65 | $201.00 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Kaiser Permanente
| Professional | $109.12 | $160.13 | $240.21 | |
United
| Professional | $133.55 | $186.72 | $340.57 | |
Wellpoint
| Professional | $130.85 | $184.16 | $232.68 |