| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.11 | $79.79 | $272.42 | |
CareFirst
| Professional | $84.04 | $84.04 | $84.04 | |
Cigna
| Professional | $71.28 | $85.56 | $157.10 | |
Kaiser Permanente
| Professional | $73.63 | $83.70 | $117.05 | |
United
| Professional | $57.13 | $87.89 | $149.03 | |
Wellpoint
| Professional | $64.40 | $77.50 | $107.79 |