| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.76 | $22.81 | $25.26 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Kaiser Permanente
| Professional | $25.74 | $30.89 | $38.61 | |
United
| Professional | $16.63 | $21.08 | $38.85 | |
Wellpoint
| Professional | $31.94 | $36.10 | $36.90 |