| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.56 | $147.27 | $193.55 | |
CareFirst
| Professional | $127.50 | $141.66 | $177.09 | |
Cigna
| Professional | $119.43 | $179.31 | $332.92 | |
Kaiser Permanente
| Professional | $99.14 | $133.41 | $217.48 | |
United
| Professional | $127.06 | $172.02 | $324.98 | |
Wellpoint
| Professional | $188.05 | $212.63 | $236.25 |