| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.13 | $23.92 | $30.81 | |
Cigna
| Professional | $28.87 | $28.87 | $34.58 | |
Kaiser Permanente
| Professional | $21.45 | $31.35 | $42.57 | |
United
| Professional | $20.68 | $28.05 | $52.51 | |
Wellpoint
| Professional | $37.95 | $42.85 | $47.61 |