| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.82 | $63.98 | $74.87 | |
CareFirst
| Professional | $66.41 | $66.41 | $76.37 | |
Cigna
| Professional | $55.99 | $74.64 | $159.49 | |
Kaiser Permanente
| Professional | $51.61 | $75.43 | $112.29 | |
United
| Professional | $50.31 | $72.94 | $160.69 | |
Wellpoint
| Professional | $56.87 | $82.87 | $101.49 |