| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.24 | $206.12 | $206.12 | |
CareFirst
| Professional | $219.86 | $219.86 | $250.64 | |
Cigna
| Professional | $129.21 | $129.21 | $129.21 | |
Kaiser Permanente
| Professional | $274.83 | $329.80 | $412.25 | |
United
| Professional | $103.54 | $110.93 | $228.03 | |
Wellpoint
| Professional | $137.41 | $218.00 | $218.00 |