| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.87 | $212.16 | $212.16 | |
CareFirst
| Professional | $226.30 | $254.59 | $290.23 | |
Cigna
| Professional | $148.27 | $148.27 | $148.27 | |
Kaiser Permanente
| Professional | $282.88 | $339.46 | $424.32 | |
United
| Professional | $118.81 | $127.30 | $254.59 | |
Wellpoint
| Professional | $141.44 | $141.44 | $141.44 |