| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.51 | $206.51 | $245.44 | |
CareFirst
| Professional | $220.28 | $220.28 | $251.12 | |
Cigna
| Professional | $145.94 | $145.94 | $145.94 | |
Kaiser Permanente
| Professional | $275.35 | $330.42 | $413.03 | |
United
| Professional | $115.65 | $131.44 | $209.27 | |
Wellpoint
| Professional | $137.68 | $137.68 | $137.68 |