| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.77 | $190.85 | $289.08 | |
CareFirst
| Professional | $234.76 | $234.76 | $439.77 | |
Cigna
| Professional | $189.13 | $322.77 | $614.77 | |
Kaiser Permanente
| Professional | $174.16 | $221.18 | $335.57 | |
United
| Professional | $164.65 | $257.82 | $418.49 | |
Wellpoint
| Professional | $192.33 | $192.33 | $278.24 |