| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $80.52 | $80.52 | |
CareFirst
| Professional | $89.31 | $89.31 | $100.92 | |
Cigna
| Professional | $41.61 | $74.93 | $128.50 | |
Kaiser Permanente
| Professional | $79.50 | $95.58 | $172.81 | |
United
| Professional | $30.10 | $58.80 | $119.95 | |
Wellpoint
| Professional | $27.97 | $87.91 | $91.43 |