| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.81 | $199.15 | $231.77 | |
Cigna
| Professional | $172.39 | $172.39 | $172.39 | |
Kaiser Permanente
| Professional | $190.78 | $213.66 | $268.58 | |
United
| Professional | $154.88 | $199.96 | $339.77 | |
Wellpoint
| Professional | $130.63 | $130.63 | $130.63 |