| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.29 | $143.52 | $143.52 | |
CareFirst
| Professional | $229.26 | $229.26 | $229.26 | |
Cigna
| Professional | $367.47 | $378.33 | $389.22 | |
Kaiser Permanente
| Professional | $144.54 | $167.02 | $216.81 | |
United
| Professional | $135.46 | $189.64 | $311.88 | |
Wellpoint
| Professional | $143.07 | $143.07 | $166.22 |