| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.41 | $43.04 | $54.57 | |
Cigna
| Professional | $38.69 | $38.69 | $38.69 | |
Kaiser Permanente
| Professional | $41.72 | $52.70 | $68.91 | |
United
| Professional | $33.72 | $48.88 | $108.35 | |
Wellpoint
| Professional | $46.78 | $50.51 | $63.80 |