| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,188.00 | $1,262.25 | $1,262.25 | |
Cigna
| Professional | $1,262.25 | $1,262.25 | $1,262.25 | |
Kaiser Permanente
| Professional | $1,875.80 | $1,875.80 | $2,275.96 | |
Wellpoint
| Professional | $1,204.99 | $1,204.99 | $1,270.19 |