| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.97 | $74.72 | $74.72 | |
CareFirst
| Professional | $177.04 | $177.04 | $177.04 | |
Cigna
| Professional | $136.94 | $136.94 | $136.94 | |
Kaiser Permanente
| Professional | $163.66 | $207.37 | $384.03 | |
United
| Professional | $83.51 | $83.51 | $87.91 | |
Wellpoint
| Professional | $88.59 | $88.59 | $88.59 |