| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.11 | $77.69 | $196.38 | |
CareFirst
| Professional | $93.79 | $104.21 | $132.35 | |
Cigna
| Professional | $51.85 | $72.51 | $232.59 | |
Kaiser Permanente
| Professional | $94.74 | $113.69 | $176.32 | |
United
| Professional | $42.63 | $52.61 | $86.21 | |
Wellpoint
| Professional | $47.37 | $90.11 | $90.11 |