| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.59 | $72.56 | $178.46 | |
CareFirst
| Professional | $72.56 | $72.56 | $81.99 | |
Cigna
| Professional | $58.19 | $77.69 | $130.57 | |
Kaiser Permanente
| Professional | $69.47 | $84.39 | $153.44 | |
United
| Professional | $54.12 | $70.31 | $134.07 | |
Wellpoint
| Professional | $56.86 | $76.72 | $79.89 |