| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.25 | $28.50 | $37.24 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Kaiser Permanente
| Professional | $17.29 | $24.06 | $36.09 | |
United
| Professional | $17.50 | $26.25 | $47.37 | |
Wellpoint
| Professional | $11.11 | $11.11 | $11.11 |