| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.54 | $176.95 | $224.24 | |
CareFirst
| Professional | $201.70 | $226.10 | $246.45 | |
Cigna
| Professional | $145.97 | $234.22 | $502.26 | |
Kaiser Permanente
| Professional | $179.27 | $237.13 | $412.40 | |
United
| Professional | $158.30 | $210.45 | $350.89 | |
Wellpoint
| Professional | $150.97 | $171.84 | $267.87 |