| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.37 | $173.70 | $176.18 | |
CareFirst
| Professional | $192.27 | $192.27 | $217.27 | |
Cigna
| Professional | $140.06 | $174.73 | $319.75 | |
Kaiser Permanente
| Professional | $173.15 | $208.19 | $378.52 | |
United
| Professional | $132.22 | $169.78 | $335.45 | |
Wellpoint
| Professional | $127.46 | $189.26 | $199.12 |