| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.45 | $154.79 | $275.83 | |
CareFirst
| Professional | $88.14 | $88.14 | $130.44 | |
Cigna
| Professional | $81.73 | $190.58 | $388.58 | |
Kaiser Permanente
| Professional | $179.93 | $265.62 | $406.89 | |
United
| Professional | $152.25 | $217.26 | $409.60 | |
Wellpoint
| Professional | $141.71 | $260.85 | $321.20 |