| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.61 | $100.27 | $129.26 | |
CareFirst
| Professional | $112.27 | $124.74 | $150.94 | |
Cigna
| Professional | $94.31 | $142.13 | $271.58 | |
Kaiser Permanente
| Professional | $80.72 | $114.91 | $158.59 | |
United
| Professional | $82.17 | $121.82 | $197.15 | |
Wellpoint
| Professional | $89.13 | $125.78 | $157.52 |