| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.12 | $190.21 | $232.60 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Kaiser Permanente
| Professional | $143.65 | $210.39 | $315.58 | |
United
| Professional | $163.46 | $234.92 | $405.06 | |
Wellpoint
| Professional | $171.16 | $241.95 | $304.32 |