| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.96 | $210.97 | $244.26 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Kaiser Permanente
| Professional | $143.65 | $210.39 | $315.58 | |
United
| Professional | $162.94 | $258.50 | $435.83 | |
Wellpoint
| Professional | $171.16 | $241.95 | $304.32 |