| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.19 | $85.83 | $119.88 | |
CareFirst
| Professional | $76.87 | $85.41 | $85.41 | |
Cigna
| Professional | $74.95 | $104.18 | $187.12 | |
Kaiser Permanente
| Professional | $81.87 | $97.14 | $138.69 | |
United
| Professional | $75.87 | $101.86 | $181.26 | |
Wellpoint
| Professional | $72.29 | $73.97 | $133.50 |