| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $57.54 | $67.61 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $56.23 | $56.23 | $56.23 | |
Kaiser Permanente
| Professional | $51.29 | $70.79 | $97.72 | |
United
| Facility | $41.69 | $50.12 | $63.10 | |
United
| Professional | $51.29 | $69.18 | $107.15 | |
Wellpoint
| Professional | $67.61 | $85.11 | $97.72 |