| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.04 | $133.72 | $246.54 | |
Cigna
| Professional | $173.49 | $173.49 | $173.49 | |
Kaiser Permanente
| Professional | $200.32 | $258.62 | $498.75 | |
United
| Professional | $219.78 | $340.54 | $588.08 | |
Wellpoint
| Professional | $230.37 | $258.04 | $286.70 |