| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $112.75 | $123.27 | |
CareFirst
| Professional | $150.33 | $165.36 | $302.66 | |
Cigna
| Professional | $65.13 | $106.84 | $434.14 | |
Kaiser Permanente
| Professional | $150.33 | $180.40 | $225.50 | |
United
| Professional | $63.14 | $67.65 | $135.30 | |
Wellpoint
| Professional | $75.17 | $75.17 | $75.17 |