| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.43 | $41.41 | $183.16 | |
CareFirst
| Professional | $51.20 | $51.20 | $80.77 | |
Cigna
| Professional | $73.39 | $167.51 | $201.68 | |
Kaiser Permanente
| Professional | $36.22 | $46.29 | $67.23 | |
United
| Professional | $30.10 | $50.23 | $82.51 | |
Wellpoint
| Professional | $31.75 | $46.29 | $56.66 |