| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $23.99 | $30.90 | |
Cigna
| Professional | $13.80 | $13.80 | $13.80 | |
Kaiser Permanente
| Professional | $26.30 | $31.62 | $39.81 | |
United
| Professional | $11.75 | $15.85 | $21.38 | |
Wellpoint
| Professional | $13.18 | $37.15 | $37.15 |