| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.79 | $172.02 | $197.42 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Kaiser Permanente
| Professional | $120.39 | $176.19 | $264.29 | |
United
| Professional | $131.77 | $201.22 | $335.12 | |
Wellpoint
| Professional | $143.00 | $202.62 | $254.24 |