| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $277.72 | $320.45 | $320.45 | |
CareFirst
| Professional | $341.81 | $384.53 | $438.36 | |
Cigna
| Professional | $226.45 | $226.45 | $249.95 | |
Kaiser Permanente
| Professional | $427.26 | $512.71 | $746.00 | |
United
| Professional | $179.45 | $192.27 | $384.53 | |
Wellpoint
| Professional | $213.63 | $213.63 | $213.63 |