| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.39 | $92.96 | $112.95 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Kaiser Permanente
| Professional | $72.76 | $106.11 | $159.16 | |
United
| Professional | $82.55 | $126.57 | $213.67 | |
Wellpoint
| Professional | $85.86 | $122.03 | $152.66 |