| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.61 | $144.94 | $383.26 | |
CareFirst
| Professional | $154.60 | $154.60 | $176.24 | |
Cigna
| Professional | $100.21 | $119.46 | $474.83 | |
Kaiser Permanente
| Professional | $193.25 | $231.90 | $289.88 | |
United
| Professional | $81.17 | $86.96 | $154.51 | |
Wellpoint
| Professional | $96.63 | $153.63 | $153.63 |