| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $104.71 | $380.19 | |
CareFirst
| Professional | $93.33 | $104.71 | $331.13 | |
Cigna
| Professional | $64.57 | $91.20 | $245.47 | |
Kaiser Permanente
| Professional | $70.79 | $109.65 | $169.82 | |
United
| Professional | $52.48 | $83.18 | $147.91 | |
Wellpoint
| Professional | $79.43 | $131.83 | $158.49 |