| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.99 | $48.40 | $71.16 | |
CareFirst
| Professional | $47.87 | $55.05 | $86.97 | |
Cigna
| Professional | $34.21 | $63.63 | $117.93 | |
Kaiser Permanente
| Professional | $32.99 | $48.00 | $79.76 | |
United
| Professional | $43.14 | $60.40 | $102.38 | |
Wellpoint
| Professional | $60.85 | $67.94 | $85.04 |