| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.59 | $108.89 | $129.16 | |
Cigna
| Facility | $124.10 | $124.10 | $124.10 | |
Cigna
| Professional | $96.42 | $96.42 | $96.42 | |
Kaiser Permanente
| Professional | $98.23 | $127.13 | $182.80 | |
United
| Professional | $88.74 | $120.72 | $212.60 | |
Wellpoint
| Professional | $86.58 | $126.47 | $159.03 |