| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $15.14 | $18.20 | |
Cigna
| Professional | $14.79 | $14.79 | $14.79 | |
Kaiser Permanente
| Professional | $11.75 | $15.85 | $20.89 | |
United
| Professional | $12.88 | $18.20 | $31.62 | |
Wellpoint
| Professional | $18.20 | $25.12 | $27.54 |