| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.00 | $156.27 | $218.88 | |
CareFirst
| Professional | $175.25 | $194.72 | $235.61 | |
Cigna
| Professional | $141.91 | $220.21 | $411.39 | |
Kaiser Permanente
| Professional | $121.35 | $172.94 | $239.73 | |
United
| Professional | $127.61 | $179.14 | $330.45 | |
Wellpoint
| Professional | $138.27 | $189.27 | $237.02 |