| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $173.78 | $269.15 | |
CareFirst
| Professional | $141.25 | $165.96 | $239.88 | |
Cigna
| Professional | $97.72 | $501.19 | $676.08 | |
Kaiser Permanente
| Professional | $128.82 | $162.18 | $288.40 | |
United
| Professional | $147.91 | $213.80 | $331.13 | |
Wellpoint
| Professional | $147.91 | $194.98 | $234.42 |