| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.36 | $131.11 | $154.55 | |
CareFirst
| Professional | $125.86 | $139.85 | $160.31 | |
Cigna
| Professional | $90.39 | $114.92 | $429.77 | |
Kaiser Permanente
| Professional | $174.81 | $209.77 | $262.22 | |
United
| Professional | $73.42 | $78.79 | $141.58 | |
Wellpoint
| Professional | $87.41 | $138.97 | $138.97 |