| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $22.91 | $30.20 | |
Cigna
| Professional | $28.84 | $28.84 | $36.31 | |
Kaiser Permanente
| Professional | $22.39 | $30.20 | $40.74 | |
United
| Professional | $19.50 | $28.18 | $47.86 | |
Wellpoint
| Professional | $36.31 | $46.77 | $54.95 |