| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.29 | $51.41 | $148.00 | |
CareFirst
| Professional | $47.25 | $53.12 | $55.29 | |
Cigna
| Professional | $41.99 | $60.26 | $93.99 | |
Kaiser Permanente
| Professional | $66.05 | $78.68 | $110.09 | |
United
| Professional | $43.88 | $64.23 | $78.52 | |
Wellpoint
| Professional | $44.34 | $58.71 | $105.73 |