| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.01 | $70.84 | $88.19 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Kaiser Permanente
| Professional | $54.42 | $79.61 | $119.42 | |
United
| Professional | $64.15 | $97.82 | $163.80 | |
Wellpoint
| Professional | $64.87 | $91.55 | $115.38 |