| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.33 | $122.97 | $131.57 | |
CareFirst
| Professional | $163.96 | $180.36 | $205.61 | |
Cigna
| Professional | $86.90 | $86.90 | $106.58 | |
Kaiser Permanente
| Professional | $163.96 | $196.75 | $312.83 | |
United
| Professional | $73.78 | $85.26 | $149.19 | |
Wellpoint
| Professional | $81.98 | $81.98 | $81.98 |