| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.78 | $47.36 | $253.63 | |
CareFirst
| Professional | $55.59 | $55.59 | $77.55 | |
Cigna
| Professional | $45.80 | $71.15 | $118.75 | |
Kaiser Permanente
| Professional | $48.15 | $64.04 | $103.34 | |
United
| Professional | $42.62 | $58.38 | $96.29 | |
Wellpoint
| Professional | $36.47 | $55.37 | $69.12 |