| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.08 | $127.07 | $326.50 | |
CareFirst
| Professional | $117.80 | $127.47 | $182.58 | |
Cigna
| Professional | $1.90 | $82.37 | $276.31 | |
Kaiser Permanente
| Professional | $159.51 | $191.41 | $244.57 | |
United
| Professional | $120.67 | $148.69 | $322.20 | |
Wellpoint
| Professional | $155.54 | $193.97 | $230.87 |