| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.38 | $85.82 | $93.83 | |
CareFirst
| Professional | $91.54 | $102.99 | $117.41 | |
Cigna
| Professional | $60.65 | $60.65 | $66.94 | |
Kaiser Permanente
| Professional | $114.43 | $137.32 | $199.79 | |
United
| Professional | $48.06 | $51.49 | $91.49 | |
Wellpoint
| Professional | $57.22 | $57.22 | $57.22 |