| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.07 | $56.22 | $62.70 | |
CareFirst
| Professional | $70.55 | $75.89 | $93.73 | |
Cigna
| Professional | $30.50 | $41.05 | $122.96 | |
Kaiser Permanente
| Professional | $73.80 | $88.56 | $115.12 | |
Kaiser Permanente
| Professional | 26 | $18.55 | $22.27 | $31.20 |
United
| Professional | $46.51 | $55.48 | $110.94 | |
Wellpoint
| Professional | $60.21 | $92.56 | $104.87 |