| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.21 | $112.72 | $156.30 | |
CareFirst
| Professional | $135.26 | $150.29 | $181.85 | |
Cigna
| Professional | $82.41 | $118.63 | $369.41 | |
Kaiser Permanente
| Professional | $150.29 | $187.86 | $286.75 | |
United
| Professional | $90.17 | $131.65 | $262.45 | |
Wellpoint
| Professional | $75.15 | $147.50 | $147.50 |