| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.27 | $180.00 | $903.87 | |
CareFirst
| Professional | $204.25 | $211.75 | $298.57 | |
Cigna
| Professional | $103.69 | $599.87 | $722.26 | |
Kaiser Permanente
| Professional | $128.74 | $164.50 | $303.51 | |
United
| Professional | $144.07 | $204.38 | $304.54 | |
Wellpoint
| Professional | $158.08 | $181.89 | $202.09 |