| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.18 | $39.17 | $46.95 | |
Cigna
| Professional | $41.66 | $41.66 | $41.66 | |
Kaiser Permanente
| Professional | $49.34 | $63.65 | $94.31 | |
United
| Professional | $31.84 | $52.06 | $221.90 | |
Wellpoint
| Professional | $39.47 | $56.74 | $70.11 |