| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.70 | $63.37 | $102.02 | |
CareFirst
| Professional | $37.38 | $41.53 | $50.67 | |
Cigna
| Professional | $42.04 | $81.31 | $160.82 | |
Kaiser Permanente
| Professional | $34.57 | $64.19 | $109.46 | |
United
| Professional | $65.06 | $84.50 | $191.54 | |
Wellpoint
| Professional | $69.83 | $94.65 | $118.05 |