| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.04 | $20.98 | $25.31 | |
Cigna
| Facility | $20.25 | $20.25 | $20.25 | |
Cigna
| Professional | $15.18 | $15.18 | $15.18 | |
Kaiser Permanente
| Professional | $15.78 | $20.42 | $27.99 | |
United
| Professional | $10.66 | $17.11 | $32.32 | |
Wellpoint
| Professional | $18.55 | $22.56 | $25.07 |