| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $155.57 | $188.42 | $199.85 | |
CareFirst
| Professional | $97.06 | $97.06 | $110.93 | |
Cigna
| Professional | $173.33 | $288.85 | $546.63 | |
Kaiser Permanente
| Professional | $189.73 | $244.75 | $410.39 | |
United
| Professional | $166.82 | $290.20 | $559.55 | |
Wellpoint
| Professional | $247.87 | $247.87 | $247.87 |