| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $151.36 | $186.21 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Kaiser Permanente
| Professional | $128.82 | $190.55 | $245.47 | |
United
| Professional | $138.04 | $199.53 | $331.13 | |
Wellpoint
| Professional | $190.55 | $263.03 | $288.40 |