| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $76.23 | $191.66 | |
Aetna
| Professional | 25 | $76.23 | $109.62 | $425.40 |
CareFirst
| Professional | $37.21 | $40.31 | $82.73 | |
Cigna
| Professional | $39.79 | $68.48 | $140.30 | |
Kaiser Permanente
| Professional | $86.02 | $102.64 | $146.63 | |
United
| Professional | $48.08 | $71.97 | $143.66 | |
Wellpoint
| Professional | $48.00 | $65.00 | $95.26 |