| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.71 | $50.73 | $51.41 | |
CareFirst
| Professional | $54.84 | $61.70 | $78.98 | |
Cigna
| Professional | $32.86 | $45.06 | $168.20 | |
Kaiser Permanente
| Professional | $68.55 | $82.26 | $102.83 | |
United
| Professional | $25.01 | $30.85 | $62.38 | |
Wellpoint
| Professional | $34.28 | $54.50 | $54.50 |