| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.17 | $59.78 | $77.31 | |
CareFirst
| Professional | $69.84 | $69.84 | $85.22 | |
Cigna
| Professional | $44.73 | $60.61 | $102.90 | |
Kaiser Permanente
| Professional | $39.92 | $58.52 | $78.76 | |
United
| Professional | $51.27 | $70.64 | $115.29 | |
Wellpoint
| Professional | $68.09 | $77.31 | $85.91 |