| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.38 | $104.74 | $142.06 | |
CareFirst
| Professional | $113.03 | $125.59 | $151.96 | |
Cigna
| Professional | $94.65 | $149.40 | $270.35 | |
Kaiser Permanente
| Professional | $80.48 | $118.05 | $160.97 | |
United
| Professional | $90.29 | $129.76 | $217.14 | |
Wellpoint
| Professional | $96.26 | $123.42 | $154.56 |