| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.41 | $155.47 | $280.39 | |
CareFirst
| Professional | $207.31 | $228.04 | $275.93 | |
Cigna
| Professional | $113.57 | $163.72 | $509.44 | |
Kaiser Permanente
| Professional | $207.31 | $248.77 | $395.55 | |
United
| Professional | $91.22 | $130.61 | $204.63 | |
Wellpoint
| Professional | $103.66 | $203.47 | $203.47 |