| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.94 | $65.94 | $73.64 | |
Aetna
| Professional | $48.86 | $63.27 | $84.40 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
Kaiser Permanente
| Professional | $56.17 | $69.02 | $93.62 | |
United
| Professional | $6.49 | $16.22 | $17.03 | |
Wellpoint
| Professional | $57.31 | $57.31 | $57.31 |