| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.04 | $54.29 | $55.03 | |
CareFirst
| Professional | $58.70 | $66.03 | $75.27 | |
Cigna
| Professional | $39.19 | $48.24 | $180.28 | |
Kaiser Permanente
| Professional | $73.37 | $88.04 | $110.06 | |
United
| Professional | $30.82 | $33.95 | $66.77 | |
Wellpoint
| Professional | $36.69 | $36.69 | $36.69 |