| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $30.85 | $30.85 | |
Cigna
| Professional | $130.13 | $130.13 | $130.13 | |
Kaiser Permanente
| Professional | $115.00 | $152.00 | $152.00 | |
Wellpoint
| Professional | $6.10 | $6.10 | $6.10 |