| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.15 | $175.43 | $180.07 | |
Cigna
| Professional | $150.88 | $150.88 | $206.30 | |
Kaiser Permanente
| Professional | $176.94 | $228.25 | $421.79 | |
United
| Professional | $122.96 | $198.13 | $597.99 | |
Wellpoint
| Professional | $141.55 | $203.48 | $254.11 |