| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $303.01 | $344.97 | $349.63 | |
CareFirst
| Professional | $372.94 | $372.94 | $425.15 | |
Cigna
| Professional | $247.07 | $247.07 | $272.70 | |
Kaiser Permanente
| Professional | $466.17 | $559.40 | $813.93 | |
United
| Professional | $195.79 | $209.78 | $354.29 | |
Wellpoint
| Professional | $233.09 | $233.09 | $233.09 |