| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.06 | $123.28 | $142.36 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Kaiser Permanente
| Professional | $85.53 | $125.14 | $187.71 | |
United
| Professional | $96.24 | $150.85 | $241.61 | |
Wellpoint
| Professional | $101.60 | $143.91 | $180.63 |