| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.33 | $46.44 | $63.06 | |
CareFirst
| Professional | $41.80 | $41.80 | $48.97 | |
Cigna
| Professional | $42.60 | $67.89 | $135.10 | |
Kaiser Permanente
| Professional | $56.97 | $73.70 | $125.46 | |
United
| Professional | $52.22 | $68.42 | $117.99 | |
Wellpoint
| Professional | $49.73 | $65.70 | $80.87 |