| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.94 | $72.92 | $83.30 | |
CareFirst
| Professional | $77.78 | $77.78 | $98.78 | |
Cigna
| Professional | $51.53 | $69.18 | $280.91 | |
Kaiser Permanente
| Professional | $97.22 | $116.66 | $145.83 | |
United
| Professional | $40.83 | $43.75 | $73.89 | |
Wellpoint
| Professional | $48.61 | $77.29 | $77.29 |