| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $38.02 | $128.82 | |
Cigna
| Professional | $41.69 | $41.69 | $51.29 | |
Kaiser Permanente
| Professional | $48.98 | $56.23 | $85.11 | |
United
| Professional | $31.62 | $54.95 | $323.59 | |
Wellpoint
| Professional | $50.12 | $64.57 | $72.44 |