| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.40 | $245.48 | $338.76 | |
CareFirst
| Professional | $135.50 | $135.50 | $135.50 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
Kaiser Permanente
| Professional | $219.22 | $283.69 | $386.85 | |
United
| Professional | $128.66 | $180.93 | $561.27 | |
Wellpoint
| Professional | $129.90 | $129.90 | $129.90 |