| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.22 | $58.06 | $58.06 | |
CareFirst
| Professional | $103.55 | $103.55 | $103.55 | |
Cigna
| Professional | $153.61 | $175.64 | $186.25 | |
Kaiser Permanente
| Professional | $60.05 | $69.63 | $90.08 | |
United
| Professional | $56.93 | $79.94 | $125.32 | |
Wellpoint
| Professional | $55.67 | $55.67 | $69.06 |