| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $74.13 | $208.93 | |
CareFirst
| Professional | $66.07 | $72.44 | $83.18 | |
Cigna
| Professional | $56.23 | $77.62 | $131.83 | |
Kaiser Permanente
| Professional | $70.79 | $79.43 | $138.04 | |
United
| Professional | $54.95 | $74.13 | $134.90 | |
Wellpoint
| Professional | $56.23 | $77.62 | $112.20 |