| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.42 | $23.61 | $43.14 | |
Cigna
| Facility | $26.71 | $26.71 | $26.71 | |
Cigna
| Professional | $34.52 | $34.52 | $34.52 | |
Kaiser Permanente
| Professional | $29.82 | $46.17 | $65.05 | |
United
| Professional | $30.79 | $41.31 | $71.98 | |
Wellpoint
| Professional | $33.34 | $45.71 | $57.06 |