| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $54.95 | $138.04 | |
CareFirst
| Professional | $33.88 | $56.23 | $66.07 | |
Cigna
| Professional | $41.69 | $56.23 | $120.23 | |
Kaiser Permanente
| Professional | $56.23 | $66.07 | $91.20 | |
United
| Professional | $38.90 | $56.23 | $100.00 | |
Wellpoint
| Professional | $42.66 | $69.18 | $89.13 |