| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.01 | $80.20 | $103.63 | |
CareFirst
| Professional | $77.59 | $86.22 | $105.19 | |
Cigna
| Professional | $45.00 | $78.20 | $155.82 | |
Kaiser Permanente
| Professional | $56.83 | $78.68 | $116.29 | |
United
| Professional | $63.15 | $85.63 | $154.46 | |
Wellpoint
| Professional | $100.56 | $113.62 | $126.24 |