| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.48 | $267.10 | $292.02 | |
CareFirst
| Professional | $284.89 | $320.52 | $365.39 | |
Cigna
| Professional | $188.75 | $188.75 | $188.75 | |
Kaiser Permanente
| Professional | $356.13 | $427.36 | $534.20 | |
United
| Professional | $149.57 | $160.26 | $324.07 | |
Wellpoint
| Professional | $178.07 | $178.07 | $178.07 |