| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.59 | $152.63 | $173.50 | |
CareFirst
| Professional | $162.80 | $183.15 | $232.60 | |
Cigna
| Professional | $110.29 | $133.81 | $499.78 | |
Kaiser Permanente
| Professional | $203.50 | $244.20 | $312.02 | |
United
| Professional | $87.51 | $99.75 | $154.66 | |
Wellpoint
| Professional | $101.75 | $161.78 | $161.78 |