| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $296.04 | $307.43 | $307.43 | |
CareFirst
| Professional | $409.90 | $450.89 | $514.01 | |
Cigna
| Professional | $217.25 | $217.25 | $266.44 | |
Kaiser Permanente
| Professional | $409.90 | $491.88 | $782.09 | |
United
| Professional | $172.16 | $200.40 | $360.71 | |
Wellpoint
| Professional | $204.95 | $204.95 | $204.95 |