| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.07 | $307.48 | $349.36 | |
CareFirst
| Professional | $102.57 | $102.57 | $117.23 | |
Cigna
| Professional | $89.51 | $246.09 | $528.16 | |
Kaiser Permanente
| Professional | $191.25 | $328.95 | $585.95 | |
United
| Professional | $246.50 | $323.52 | $547.78 | |
Wellpoint
| Professional | $240.46 | $240.46 | $360.26 |