| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.24 | $204.85 | $327.63 | |
CareFirst
| Professional | $108.59 | $118.53 | $162.38 | |
Cigna
| Professional | $119.78 | $225.49 | $413.27 | |
Kaiser Permanente
| Professional | $182.61 | $277.69 | $389.98 | |
United
| Professional | $180.82 | $252.10 | $438.46 | |
Wellpoint
| Professional | $184.90 | $271.94 | $335.63 |