| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.63 | $47.26 | $62.40 | |
CareFirst
| Professional | $49.72 | $55.24 | $67.39 | |
Cigna
| Professional | $40.06 | $62.37 | $103.29 | |
Kaiser Permanente
| Professional | $32.31 | $47.37 | $69.58 | |
United
| Professional | $38.32 | $51.08 | $102.71 | |
Wellpoint
| Professional | $54.48 | $61.84 | $68.72 |