| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.59 | $111.72 | $122.15 | |
CareFirst
| Professional | $119.17 | $119.17 | $158.99 | |
Cigna
| Professional | $78.95 | $78.95 | $96.83 | |
Kaiser Permanente
| Professional | $198.74 | $238.49 | $298.11 | |
United
| Professional | $66.20 | $74.48 | $165.52 | |
Wellpoint
| Professional | $99.37 | $99.37 | $99.37 |