| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.63 | $131.11 | $143.34 | |
CareFirst
| Professional | $139.85 | $139.85 | $159.43 | |
Cigna
| Professional | $90.70 | $108.04 | $429.77 | |
Kaiser Permanente
| Professional | $174.81 | $209.77 | $262.22 | |
United
| Professional | $73.42 | $87.41 | $159.07 | |
Wellpoint
| Professional | $87.41 | $87.41 | $87.41 |