| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.71 | $46.31 | $80.43 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Kaiser Permanente
| Professional | $26.73 | $49.10 | $83.18 | |
United
| Professional | $49.35 | $67.91 | $125.04 | |
Wellpoint
| Professional | $46.66 | $66.42 | $83.00 |