| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.03 | $57.91 | $66.34 | |
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
| Professional | $51.11 | $67.77 | $105.56 | |
Wellpoint
| Professional | $67.69 | $83.08 | $92.31 |