| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.93 | $27.15 | $52.04 | |
Cigna
| Facility | $33.67 | $33.67 | $33.67 | |
Cigna
| Professional | $24.70 | $24.70 | $24.70 | |
Kaiser Permanente
| Professional | $25.25 | $32.68 | $46.58 | |
United
| Professional | $22.75 | $30.20 | $47.11 | |
Wellpoint
| Professional | $29.89 | $32.42 | $40.76 |