| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.53 | $224.77 | $312.95 | |
CareFirst
| Professional | $115.22 | $152.16 | $179.13 | |
Cigna
| Professional | $135.65 | $261.20 | $498.46 | |
Kaiser Permanente
| Professional | $242.93 | $331.12 | $582.04 | |
United
| Professional | $195.92 | $271.52 | $482.86 | |
Wellpoint
| Professional | $183.24 | $295.18 | $363.96 |