| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.22 | $61.75 | $164.01 | |
CareFirst
| Professional | $26.90 | $27.10 | $34.42 | |
Cigna
| Professional | $26.69 | $55.34 | $95.36 | |
Kaiser Permanente
| Professional | $54.26 | $73.42 | $137.47 | |
United
| Professional | $47.46 | $61.37 | $113.50 | |
Wellpoint
| Professional | $30.57 | $48.96 | $73.42 |