| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.76 | $234.44 | $432.67 | |
Cigna
| Professional | $275.57 | $275.57 | $275.57 | |
Kaiser Permanente
| Professional | $317.80 | $409.96 | $944.80 | |
United
| Professional | $412.17 | $579.28 | $1,030.25 | |
Wellpoint
| Professional | $365.47 | $409.82 | $455.36 |