| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.79 | $102.17 | $119.42 | |
Cigna
| Professional | $94.04 | $94.04 | $94.04 | |
Kaiser Permanente
| Professional | $93.11 | $107.91 | $143.52 | |
United
| Professional | $75.31 | $98.05 | $169.35 | |
Wellpoint
| Professional | $87.23 | $114.18 | $139.66 |