| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.53 | $127.37 | $184.73 | |
Cigna
| Professional | $109.51 | $109.51 | $149.46 | |
Kaiser Permanente
| Professional | $128.38 | $165.62 | $306.47 | |
United
| Professional | $95.50 | $170.10 | $373.26 | |
Wellpoint
| Professional | $102.71 | $147.65 | $184.44 |