| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.35 | $49.01 | $77.50 | |
CareFirst
| Professional | $58.81 | $65.34 | $82.98 | |
Cigna
| Professional | $33.56 | $46.38 | $160.96 | |
Kaiser Permanente
| Professional | $65.34 | $78.41 | $98.01 | |
United
| Professional | $25.01 | $29.40 | $58.81 | |
Wellpoint
| Professional | $32.67 | $51.95 | $51.95 |