| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $26.92 | |
Aetna
| Professional | $16.98 | $22.91 | $30.90 | |
Cigna
| Professional | $28.84 | $28.84 | $36.31 | |
Kaiser Permanente
| Professional | $22.39 | $29.51 | $40.74 | |
United
| Facility | $36.31 | $45.71 | $61.66 | |
United
| Professional | $19.05 | $27.54 | $47.86 | |
Wellpoint
| Professional | $35.48 | $46.77 | $54.95 |