| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.56 | $174.77 | $202.73 | |
Cigna
| Professional | $152.07 | $152.07 | $207.89 | |
Kaiser Permanente
| Professional | $178.33 | $230.05 | $420.99 | |
United
| Professional | $127.95 | $196.69 | $358.19 | |
Wellpoint
| Professional | $142.66 | $205.08 | $256.11 |