| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.01 | $131.55 | $143.83 | |
CareFirst
| Professional | $140.32 | $140.32 | $159.96 | |
Cigna
| Professional | $90.88 | $108.47 | $431.38 | |
Kaiser Permanente
| Professional | $175.40 | $210.48 | $263.10 | |
United
| Professional | $73.67 | $78.93 | $154.35 | |
Wellpoint
| Professional | $87.70 | $139.44 | $139.44 |