| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.02 | $34.67 | |
Cigna
| Professional | $10.47 | $10.47 | $10.47 | |
Kaiser Permanente
| Professional | $12.30 | $13.80 | $25.70 | |
United
| Professional | $9.55 | $13.80 | $26.30 | |
Wellpoint
| Professional | $12.30 | $14.13 | $19.05 |