| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $54.95 | $75.86 | |
CareFirst
| Professional | $48.98 | $63.10 | $85.11 | |
Cigna
| Professional | $48.98 | $64.57 | $107.15 | |
Kaiser Permanente
| Professional | $52.48 | $67.61 | $91.20 | |
United
| Professional | $43.65 | $61.66 | $107.15 | |
Wellpoint
| Professional | $66.07 | $81.28 | $91.20 |