| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.61 | $143.01 | $144.94 | |
CareFirst
| Professional | $154.60 | $154.60 | $176.24 | |
Cigna
| Professional | $102.02 | $120.16 | $474.83 | |
Kaiser Permanente
| Professional | $193.25 | $231.90 | $289.88 | |
United
| Professional | $81.17 | $86.96 | $156.51 | |
Wellpoint
| Professional | $96.63 | $96.63 | $96.63 |