| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.58 | $157.59 | $157.59 | |
CareFirst
| Professional | $138.61 | $154.02 | $177.12 | |
Cigna
| Professional | $115.99 | $154.19 | $265.75 | |
Kaiser Permanente
| Professional | $155.93 | $182.96 | $348.50 | |
United
| Professional | $88.08 | $143.16 | $281.74 | |
Wellpoint
| Professional | $174.25 | $174.25 | $181.50 |