| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.26 | $15.92 | $27.24 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $40.11 | $54.94 | |
Kaiser Permanente
| Professional | $28.24 | $34.70 | $48.21 | |
United
| Professional | $17.32 | $23.80 | $38.00 | |
Wellpoint
| Professional | $31.76 | $67.64 | $67.64 |