| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.21 | $161.10 | $668.57 | |
CareFirst
| Professional | $155.38 | $170.67 | $349.00 | |
Cigna
| Professional | $123.32 | $164.89 | $356.50 | |
Kaiser Permanente
| Professional | $135.24 | $174.46 | $287.12 | |
United
| Professional | $122.97 | $159.44 | $334.52 | |
Wellpoint
| Professional | $117.70 | $117.70 | $189.47 |