| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.66 | $17.66 | $42.65 | |
Cigna
| Professional | $19.50 | $19.50 | $143.53 | |
Kaiser Permanente
| Professional | $47.00 | $52.00 | $53.00 | |
Wellpoint
| Professional | $35.00 | $76.00 | $76.00 |