| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.50 | $234.33 | $267.51 | |
Cigna
| Professional | $194.32 | $194.32 | $265.52 | |
Kaiser Permanente
| Professional | $227.77 | $293.82 | $556.51 | |
United
| Professional | $149.91 | $281.61 | $757.23 | |
Wellpoint
| Professional | $182.22 | $261.94 | $327.30 |