| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.01 | $132.82 | $166.51 | |
Cigna
| Professional | $128.26 | $128.26 | $128.26 | |
Kaiser Permanente
| Professional | $57.63 | $118.10 | $196.36 | |
United
| Professional | $114.02 | $141.47 | $269.33 | |
Wellpoint
| Professional | $145.08 | $169.79 | $211.79 |