| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.53 | $121.96 | $163.69 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Kaiser Permanente
| Professional | $104.91 | $135.33 | $248.36 | |
United
| Professional | $101.93 | $154.91 | $221.99 | |
Wellpoint
| Professional | $120.65 | $120.65 | $147.81 |