| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.33 | $49.44 | $68.48 | |
Cigna
| Professional | $55.95 | $55.95 | $55.95 | |
Kaiser Permanente
| Professional | $36.72 | $54.92 | $92.59 | |
United
| Professional | $47.08 | $75.89 | $181.84 | |
Wellpoint
| Professional | $51.90 | $73.95 | $92.40 |