| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.89 | $117.56 | $117.56 | |
CareFirst
| Professional | $125.40 | $125.40 | $142.96 | |
Cigna
| Professional | $83.08 | $83.08 | $83.08 | |
Kaiser Permanente
| Professional | $156.75 | $180.26 | $235.13 | |
United
| Professional | $65.84 | $70.54 | $142.63 | |
Wellpoint
| Professional | $78.38 | $78.38 | $78.38 |