| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.66 | $26.47 | $30.93 | |
Cigna
| Professional | $23.21 | $23.21 | $23.21 | |
Kaiser Permanente
| Professional | $23.69 | $30.66 | $43.69 | |
United
| Professional | $20.70 | $28.22 | $49.62 | |
Wellpoint
| Professional | $20.50 | $30.45 | $38.29 |