| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.48 | $334.74 | $389.58 | |
Cigna
| Professional | $289.52 | $289.52 | $289.52 | |
Kaiser Permanente
| Professional | $320.62 | $359.09 | $451.40 | |
United
| Professional | $260.20 | $378.25 | $540.42 | |
Wellpoint
| Professional | $224.93 | $224.93 | $224.93 |