| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.20 | $135.69 | $188.54 | |
CareFirst
| Professional | $150.81 | $167.56 | $202.75 | |
Cigna
| Professional | $118.78 | $185.58 | $344.79 | |
Kaiser Permanente
| Professional | $101.48 | $144.69 | $201.02 | |
United
| Professional | $105.66 | $148.06 | $281.33 | |
Wellpoint
| Professional | $117.72 | $158.41 | $198.24 |