| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.36 | $49.84 | $56.18 | |
Cigna
| Facility | $65.03 | $65.03 | $65.03 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
Kaiser Permanente
| Professional | $48.41 | $64.22 | $87.93 | |
United
| Professional | $42.06 | $56.91 | $94.98 | |
Wellpoint
| Professional | $59.20 | $72.66 | $80.73 |