| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.17 | $57.61 | $67.55 | |
Cigna
| Facility | $78.31 | $78.31 | $78.31 | |
Cigna
| Professional | $55.95 | $55.95 | $55.95 | |
Kaiser Permanente
| Professional | $57.22 | $74.05 | $105.58 | |
United
| Facility | $41.22 | $47.32 | $50.62 | |
United
| Professional | $50.62 | $69.39 | $115.27 | |
Wellpoint
| Professional | $67.69 | $83.08 | $92.31 |