| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $233.50 | $269.07 | $313.14 | |
Cigna
| Professional | $232.88 | $232.88 | $232.88 | |
Kaiser Permanente
| Professional | $257.62 | $288.52 | $362.70 | |
United
| Professional | $209.09 | $268.19 | $458.65 | |
Wellpoint
| Professional | $200.02 | $200.02 | $200.02 |