| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.41 | $150.41 | $168.17 | |
Cigna
| Professional | $135.10 | $135.10 | $184.44 | |
Kaiser Permanente
| Professional | $158.38 | $204.31 | $369.50 | |
United
| Professional | $103.61 | $189.83 | $528.28 | |
Wellpoint
| Professional | $126.70 | $182.14 | $227.55 |