| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.84 | $159.97 | $343.45 | |
CareFirst
| Professional | $170.64 | $170.64 | $354.09 | |
Cigna
| Professional | $85.50 | $140.18 | $523.92 | |
Kaiser Permanente
| Professional | $213.30 | $255.96 | $319.95 | |
United
| Professional | $63.72 | $95.99 | $162.11 | |
Wellpoint
| Professional | $106.65 | $169.57 | $169.57 |