| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.30 | $223.79 | $254.62 | |
CareFirst
| Professional | $196.27 | $242.60 | $368.74 | |
Cigna
| Professional | $172.12 | $232.19 | $464.54 | |
Kaiser Permanente
| Professional | $187.76 | $242.21 | $398.96 | |
United
| Professional | $163.43 | $210.59 | $377.84 | |
Wellpoint
| Professional | $181.78 | $181.78 | $263.83 |