| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.20 | $180.43 | $317.24 | |
CareFirst
| Professional | $113.07 | $147.77 | $202.44 | |
Cigna
| Professional | $131.96 | $232.80 | $457.00 | |
Kaiser Permanente
| Professional | $202.88 | $303.57 | $441.47 | |
United
| Professional | $167.03 | $244.10 | $430.91 | |
Wellpoint
| Professional | $173.11 | $299.89 | $370.22 |