| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.48 | $145.35 | $267.31 | |
Aetna
| Professional | $21.05 | $26.32 | $33.52 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Kaiser Permanente
| Professional | $35.09 | $42.11 | $66.95 | |
United
| Professional | $15.79 | $20.22 | $31.93 | |
Wellpoint
| Professional | $17.55 | $17.55 | $17.55 |