| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.05 | $166.01 | $221.50 | |
CareFirst
| Professional | $173.34 | $173.34 | $173.34 | |
Cigna
| Professional | $135.47 | $175.14 | $206.14 | |
Kaiser Permanente
| Professional | $161.97 | $186.35 | $248.38 | |
United
| Professional | $126.56 | $162.44 | $253.83 | |
Wellpoint
| Professional | $151.84 | $188.51 | $242.96 |