| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $205.96 | $317.18 | $437.71 | |
CareFirst
| Professional | $175.07 | $175.07 | $175.07 | |
Cigna
| Professional | $153.00 | $153.00 | $153.00 | |
Kaiser Permanente
| Professional | $283.25 | $366.56 | $499.86 | |
United
| Professional | $162.79 | $221.66 | $476.87 | |
Wellpoint
| Professional | $167.86 | $167.86 | $167.86 |