| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.20 | $101.38 | $112.34 | |
CareFirst
| Professional | $109.60 | $109.60 | $124.94 | |
Cigna
| Professional | $70.91 | $84.75 | $336.41 | |
Kaiser Permanente
| Professional | $137.00 | $164.40 | $205.50 | |
United
| Professional | $57.54 | $61.65 | $109.54 | |
Wellpoint
| Professional | $68.50 | $108.92 | $108.92 |