| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.01 | $181.43 | $194.12 | |
CareFirst
| Professional | $241.90 | $266.08 | $303.33 | |
Cigna
| Professional | $132.59 | $179.05 | $594.75 | |
Kaiser Permanente
| Professional | $241.90 | $290.27 | $362.85 | |
United
| Professional | $106.44 | $130.63 | $220.12 | |
Wellpoint
| Professional | $120.95 | $120.95 | $120.95 |