| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.47 | $83.19 | $110.98 | |
CareFirst
| Professional | $82.53 | $82.53 | $90.78 | |
Cigna
| Professional | $64.41 | $96.20 | $160.15 | |
Kaiser Permanente
| Professional | $82.52 | $101.93 | $163.00 | |
United
| Professional | $56.20 | $75.95 | $126.66 | |
Wellpoint
| Professional | $67.22 | $97.08 | $128.46 |