| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.86 | $73.56 | $107.69 | |
CareFirst
| Professional | $65.00 | $68.33 | $72.00 | |
Cigna
| Professional | $62.21 | $88.04 | $164.29 | |
Kaiser Permanente
| Professional | $68.76 | $84.05 | $119.35 | |
United
| Professional | $67.80 | $94.91 | $164.11 | |
Wellpoint
| Professional | $64.59 | $64.61 | $114.91 |