| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $48.98 | $91.20 | |
CareFirst
| Professional | $43.65 | $47.86 | $57.54 | |
Cigna
| Professional | $43.65 | $67.61 | $128.82 | |
Kaiser Permanente
| Professional | $50.12 | $66.07 | $100.00 | |
United
| Professional | $41.69 | $63.10 | $107.15 | |
Wellpoint
| Professional | $50.12 | $74.13 | $87.10 |