| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.90 | $45.67 | $51.31 | |
CareFirst
| Professional | $44.90 | $44.90 | $51.32 | |
Cigna
| Professional | $44.67 | $68.08 | $126.97 | |
Kaiser Permanente
| Professional | $55.20 | $71.29 | $114.16 | |
United
| Professional | $45.35 | $69.66 | $127.39 | |
Wellpoint
| Professional | $45.73 | $63.55 | $78.45 |