| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.96 | $53.63 | $96.20 | |
Cigna
| Facility | $29.04 | $62.00 | $655.00 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
Kaiser Permanente
| Professional | $64.53 | $101.31 | $144.76 | |
United
| Professional | $39.83 | $81.91 | $170.37 | |
Wellpoint
| Professional | $93.81 | $110.35 | $122.61 |