| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.57 | $123.81 | $195.56 | |
CareFirst
| Professional | $106.99 | $114.80 | $132.00 | |
Cigna
| Professional | $99.81 | $154.71 | $314.44 | |
Kaiser Permanente
| Professional | $145.58 | $193.62 | $308.79 | |
United
| Professional | $108.73 | $152.32 | $252.58 | |
Wellpoint
| Professional | $94.84 | $167.42 | $206.99 |