| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.61 | $32.97 | $36.06 | |
Cigna
| Professional | $23.12 | $23.12 | $23.12 | |
Kaiser Permanente
| Professional | $43.97 | $50.57 | $65.95 | |
United
| Professional | $12.63 | $19.79 | $27.70 | |
Wellpoint
| Professional | $21.99 | $21.99 | $29.85 |