| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $304.41 | $346.56 | $351.25 | |
CareFirst
| Professional | $374.66 | $421.50 | $480.51 | |
Cigna
| Professional | $248.21 | $248.21 | $248.21 | |
Kaiser Permanente
| Professional | $468.33 | $562.00 | $702.50 | |
United
| Professional | $196.70 | $210.75 | $426.17 | |
Wellpoint
| Professional | $234.17 | $234.17 | $234.17 |