| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.23 | $93.48 | $350.00 | |
CareFirst
| Professional | $99.71 | $99.71 | $113.67 | |
Cigna
| Professional | $43.29 | $76.98 | $306.63 | |
Kaiser Permanente
| Professional | $124.64 | $149.57 | $186.96 | |
United
| Professional | $40.01 | $56.09 | $94.73 | |
Wellpoint
| Professional | $62.32 | $99.09 | $99.09 |