| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.70 | $48.87 | $54.64 | |
Cigna
| Facility | $62.56 | $62.56 | $62.56 | |
Cigna
| Professional | $47.02 | $47.02 | $47.02 | |
Kaiser Permanente
| Professional | $46.41 | $61.67 | $84.37 | |
United
| Professional | $40.71 | $55.77 | $91.17 | |
Wellpoint
| Professional | $56.67 | $69.55 | $77.28 |