| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.87 | $212.16 | $212.16 | |
CareFirst
| Professional | $226.30 | $260.25 | $296.69 | |
Cigna
| Professional | $149.93 | $149.93 | $149.93 | |
Kaiser Permanente
| Professional | $282.88 | $325.31 | $424.32 | |
United
| Professional | $118.81 | $135.05 | $257.42 | |
Wellpoint
| Professional | $141.44 | $141.44 | $141.44 |