| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.74 | $76.38 | $175.32 | |
CareFirst
| Professional | $43.39 | $43.39 | $54.12 | |
Cigna
| Professional | $49.89 | $83.24 | $166.44 | |
Kaiser Permanente
| Professional | $83.00 | $107.39 | $163.84 | |
United
| Professional | $58.05 | $83.44 | $158.37 | |
Wellpoint
| Professional | $65.02 | $95.74 | $118.57 |