| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.32 | $100.97 | $137.15 | |
CareFirst
| Professional | $118.03 | $131.15 | $160.00 | |
Cigna
| Professional | $79.73 | $115.69 | $225.42 | |
Kaiser Permanente
| Professional | $72.34 | $104.58 | $150.60 | |
United
| Professional | $77.27 | $111.60 | $244.18 | |
Wellpoint
| Professional | $120.27 | $136.26 | $151.40 |