| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.29 | $120.66 | $222.95 | |
Cigna
| Professional | $153.85 | $153.85 | $153.85 | |
Kaiser Permanente
| Professional | $177.76 | $229.56 | $500.44 | |
United
| Professional | $209.42 | $292.70 | $529.05 | |
Wellpoint
| Professional | $204.42 | $228.83 | $254.25 |