| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.08 | $89.37 | $98.06 | |
CareFirst
| Professional | $92.85 | $97.76 | $112.42 | |
Cigna
| Professional | $79.11 | $101.25 | $170.90 | |
Kaiser Permanente
| Professional | $101.19 | $131.76 | $232.79 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $80.00 | $102.41 | $223.73 | |
Wellpoint
| Professional | $71.76 | $96.95 | $117.46 |