| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.03 | $46.32 | $87.19 | |
Cigna
| Professional | $46.42 | $46.42 | $46.42 | |
Kaiser Permanente
| Professional | $53.85 | $69.47 | $115.57 | |
United
| Professional | $39.93 | $60.44 | $98.62 | |
Wellpoint
| Professional | $61.93 | $68.95 | $76.62 |