| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.72 | $71.20 | $109.80 | |
CareFirst
| Professional | $77.43 | $77.43 | $77.43 | |
Cigna
| Professional | $56.86 | $74.86 | $100.37 | |
Kaiser Permanente
| Professional | $68.93 | $78.81 | $105.10 | |
United
| Professional | $56.29 | $76.63 | $112.96 | |
Wellpoint
| Professional | $64.59 | $79.69 | $103.40 |