| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.83 | $305.57 | $305.57 | |
CareFirst
| Professional | $325.94 | $366.69 | $418.03 | |
Cigna
| Professional | $215.94 | $215.94 | $215.94 | |
Kaiser Permanente
| Professional | $407.43 | $488.92 | $611.15 | |
United
| Professional | $171.12 | $183.34 | $325.76 | |
Wellpoint
| Professional | $203.72 | $324.00 | $324.00 |