| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.93 | $65.98 | $80.20 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Kaiser Permanente
| Professional | $52.04 | $75.81 | $113.72 | |
United
| Professional | $57.80 | $87.36 | $148.99 | |
Wellpoint
| Professional | $61.29 | $87.18 | $108.99 |