| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.74 | $81.65 | $453.13 | |
CareFirst
| Professional | $69.64 | $79.59 | $118.60 | |
Cigna
| Professional | $63.00 | $89.34 | $150.03 | |
Kaiser Permanente
| Professional | $59.74 | $76.15 | $125.25 | |
United
| Professional | $61.81 | $79.06 | $122.99 | |
Wellpoint
| Professional | $72.78 | $80.65 | $90.00 |