| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $114.82 | $158.49 | |
CareFirst
| Professional | $120.23 | $131.83 | $151.36 | |
Cigna
| Professional | $85.11 | $114.82 | $204.17 | |
Kaiser Permanente
| Professional | $123.03 | $141.25 | $186.21 | |
United
| Professional | $67.61 | $102.33 | $204.17 | |
Wellpoint
| Professional | $64.57 | $131.83 | $194.98 |