| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.33 | $195.38 | $195.38 | |
CareFirst
| Professional | $208.40 | $208.40 | $237.58 | |
Cigna
| Professional | $138.07 | $138.07 | $138.07 | |
Kaiser Permanente
| Professional | $260.50 | $299.58 | $390.75 | |
United
| Professional | $109.41 | $117.23 | $234.45 | |
Wellpoint
| Professional | $130.25 | $130.25 | $130.25 |