| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.88 | $226.01 | $226.01 | |
CareFirst
| Professional | $241.08 | $277.24 | $316.05 | |
Cigna
| Professional | $159.72 | $159.72 | $159.72 | |
Kaiser Permanente
| Professional | $301.35 | $346.55 | $452.03 | |
United
| Professional | $126.57 | $135.61 | $271.22 | |
Wellpoint
| Professional | $150.68 | $239.57 | $239.57 |