| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.16 | $132.94 | $177.76 | |
CareFirst
| Professional | $175.48 | $194.98 | $247.62 | |
Cigna
| Professional | $97.07 | $139.85 | $435.40 | |
Kaiser Permanente
| Professional | $177.25 | $212.70 | $338.19 | |
United
| Professional | $74.45 | $101.56 | $161.29 | |
Wellpoint
| Professional | $88.63 | $173.97 | $173.97 |