| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.30 | $6.89 | $64.77 | |
Cigna
| Facility | $7.57 | $7.57 | $7.57 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 | |
Kaiser Permanente
| Professional | $50.41 | $71.17 | $103.37 | |
United
| Professional | $49.24 | $67.86 | $111.01 | |
Wellpoint
| Professional | $68.20 | $75.34 | $84.62 |