| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $73.05 | $132.36 | |
CareFirst
| Professional | $28.07 | $28.07 | $86.82 | |
Cigna
| Professional | $25.65 | $69.97 | $138.47 | |
Kaiser Permanente
| Professional | $93.99 | $118.32 | $169.04 | |
United
| Professional | $29.07 | $72.61 | $111.55 | |
Wellpoint
| Professional | $32.88 | $33.51 | $112.69 |