| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.60 | $30.23 | $30.94 | |
Cigna
| Professional | $13.93 | $13.93 | $13.93 | |
Kaiser Permanente
| Professional | $26.49 | $30.46 | $39.74 | |
United
| Professional | $11.66 | $15.89 | $24.11 | |
Wellpoint
| Professional | $13.25 | $13.25 | $37.01 |