| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.93 | $126.71 | $144.72 | |
Cigna
| Professional | $108.92 | $108.92 | $148.66 | |
Kaiser Permanente
| Professional | $127.70 | $164.73 | $304.05 | |
United
| Professional | $96.29 | $145.87 | $374.15 | |
Wellpoint
| Professional | $102.16 | $146.86 | $183.44 |