| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.45 | $106.33 | $155.63 | |
CareFirst
| Professional | $72.84 | $92.24 | $111.15 | |
Cigna
| Professional | $106.92 | $142.13 | $262.27 | |
Kaiser Permanente
| Professional | $120.60 | $145.94 | $205.56 | |
United
| Professional | $91.53 | $122.62 | $190.58 | |
Wellpoint
| Professional | $91.35 | $109.63 | $198.62 |