| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $70.79 | $190.55 | |
CareFirst
| Professional | $39.81 | $39.81 | $39.81 | |
Cigna
| Professional | $100.00 | $102.33 | $104.71 | |
Kaiser Permanente
| Professional | $39.81 | $45.71 | $81.28 | |
United
| Professional | $38.90 | $66.07 | $91.20 | |
Wellpoint
| Professional | $36.31 | $39.81 | $63.10 |