| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.53 | $231.38 | $564.69 | |
Cigna
| Professional | $199.09 | $199.09 | $272.29 | |
Kaiser Permanente
| Professional | $233.43 | $301.12 | $555.67 | |
United
| Professional | $163.33 | $276.41 | $684.62 | |
Wellpoint
| Professional | $186.74 | $268.44 | $335.31 |