| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.26 | $103.63 | $119.88 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Kaiser Permanente
| Professional | $72.76 | $106.11 | $159.16 | |
United
| Professional | $80.36 | $123.74 | $189.59 | |
Wellpoint
| Professional | $85.86 | $122.03 | $152.66 |