| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $239.88 | $416.87 | |
CareFirst
| Professional | $114.82 | $147.91 | $177.83 | |
Cigna
| Professional | $134.90 | $257.04 | $501.19 | |
Kaiser Permanente
| Professional | $229.09 | $302.00 | $457.09 | |
United
| Professional | $120.23 | $218.78 | $407.38 | |
Wellpoint
| Professional | $181.97 | $338.84 | $407.38 |