| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.30 | $97.81 | $239.83 | |
CareFirst
| Professional | $80.27 | $85.84 | $117.60 | |
Cigna
| Professional | $81.84 | $81.84 | $81.84 | |
Kaiser Permanente
| Professional | $92.64 | $121.90 | $194.23 | |
United
| Professional | $80.19 | $109.26 | $204.52 | |
Wellpoint
| Professional | $107.59 | $121.35 | $134.84 |