| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.66 | $173.78 | $199.42 | |
Cigna
| Professional | $149.69 | $149.69 | $204.71 | |
Kaiser Permanente
| Professional | $175.54 | $226.45 | $417.76 | |
United
| Professional | $125.24 | $192.14 | $335.02 | |
Wellpoint
| Professional | $140.43 | $201.87 | $252.11 |