| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.69 | $160.07 | $203.80 | |
CareFirst
| Professional | $204.15 | $204.15 | $279.33 | |
Cigna
| Professional | $129.19 | $210.85 | $451.80 | |
Kaiser Permanente
| Professional | $158.68 | $215.47 | $374.05 | |
United
| Professional | $154.30 | $208.44 | $320.26 | |
Wellpoint
| Professional | $133.62 | $167.03 | $236.47 |