| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.35 | $126.74 | $178.48 | |
CareFirst
| Professional | $79.92 | $122.96 | $184.44 | |
Cigna
| Professional | $112.54 | $149.35 | $276.64 | |
Kaiser Permanente
| Professional | $109.98 | $141.02 | $229.63 | |
United
| Professional | $102.07 | $133.76 | $197.97 | |
Wellpoint
| Professional | $134.40 | $148.47 | $166.66 |