| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.61 | $155.50 | $510.49 | |
CareFirst
| Professional | $125.86 | $135.88 | $155.32 | |
Cigna
| Professional | $118.92 | $180.00 | $370.33 | |
Kaiser Permanente
| Professional | $152.82 | $203.25 | $329.66 | |
United
| Professional | $113.58 | $157.90 | $285.08 | |
Wellpoint
| Professional | $113.65 | $175.74 | $217.32 |