| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.35 | $223.79 | $249.55 | |
CareFirst
| Professional | $196.27 | $242.60 | $380.52 | |
Cigna
| Professional | $172.12 | $232.19 | $464.54 | |
Kaiser Permanente
| Professional | $187.76 | $242.21 | $398.96 | |
United
| Professional | $169.70 | $230.38 | $456.29 | |
Wellpoint
| Professional | $186.15 | $186.15 | $263.83 |