| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.92 | $49.10 | $138.44 | |
CareFirst
| Professional | $57.66 | $62.26 | $77.59 | |
Cigna
| Professional | $48.13 | $68.91 | $129.72 | |
Kaiser Permanente
| Professional | $52.65 | $70.02 | $111.62 | |
United
| Professional | $45.66 | $62.89 | $106.89 | |
Wellpoint
| Professional | $50.76 | $60.55 | $73.22 |