| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.35 | $75.00 | $97.41 | |
CareFirst
| Professional | $76.03 | $76.03 | $76.03 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Kaiser Permanente
| Professional | $105.31 | $139.72 | $191.73 | |
United
| Professional | $53.62 | $59.38 | $97.05 | |
Wellpoint
| Professional | $39.17 | $39.17 | $39.17 |