| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.48 | $92.16 | $146.36 | |
CareFirst
| Professional | $80.56 | $89.52 | $102.95 | |
Cigna
| Professional | $82.93 | $133.41 | $234.58 | |
Kaiser Permanente
| Professional | $136.63 | $166.80 | $289.36 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $106.26 | $136.61 | $247.69 | |
Wellpoint
| Professional | $96.75 | $112.36 | $168.51 |