| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $69.18 | $181.97 | |
CareFirst
| Professional | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $154.88 | $173.78 | $186.21 | |
Kaiser Permanente
| Professional | $60.26 | $69.18 | $131.83 | |
United
| Professional | $57.54 | $91.20 | $147.91 | |
Wellpoint
| Professional | $56.23 | $60.26 | $95.50 |