| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.42 | $94.69 | $159.44 | |
CareFirst
| Professional | $81.78 | $81.78 | $81.78 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Kaiser Permanente
| Professional | $97.96 | $124.47 | $157.33 | |
United
| Professional | $51.97 | $112.30 | $235.82 | |
Wellpoint
| Professional | $115.25 | $132.58 | $147.32 |