| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.87 | $209.33 | $212.16 | |
CareFirst
| Professional | $311.17 | $339.46 | $386.98 | |
Cigna
| Professional | $146.49 | $174.88 | $695.35 | |
Kaiser Permanente
| Professional | $282.88 | $339.46 | $424.32 | |
United
| Professional | $118.81 | $130.12 | $257.42 | |
Wellpoint
| Professional | $141.44 | $224.89 | $224.89 |