| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.31 | $85.10 | $323.00 | |
CareFirst
| Professional | $86.70 | $94.02 | $107.47 | |
Cigna
| Professional | $68.20 | $104.19 | $193.37 | |
Kaiser Permanente
| Professional | $76.23 | $100.01 | $167.64 | |
United
| Professional | $64.22 | $91.06 | $156.75 | |
Wellpoint
| Professional | $75.80 | $89.16 | $110.13 |