| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.84 | $33.71 | $411.36 | |
Cigna
| Professional | $27.97 | $27.97 | $27.97 | |
Kaiser Permanente
| Professional | $31.95 | $41.22 | $71.06 | |
United
| Professional | $23.22 | $36.54 | $63.83 | |
Wellpoint
| Professional | $26.20 | $36.74 | $46.14 |