| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.47 | $37.14 | $65.66 | |
Cigna
| Facility | $36.09 | $36.09 | $36.09 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Kaiser Permanente
| Professional | $29.64 | $38.54 | $53.32 | |
United
| Professional | $19.76 | $32.11 | $56.69 | |
Wellpoint
| Professional | $35.04 | $42.50 | $47.22 |