| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.38 | $138.90 | $151.86 | |
CareFirst
| Professional | $148.16 | $148.16 | $168.90 | |
Cigna
| Professional | $95.92 | $114.50 | $455.52 | |
Kaiser Permanente
| Professional | $185.20 | $222.24 | $277.80 | |
United
| Professional | $77.78 | $83.34 | $148.07 | |
Wellpoint
| Professional | $92.60 | $147.22 | $147.22 |