| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.25 | $360.04 | $364.91 | |
CareFirst
| Professional | $389.23 | $447.62 | $510.29 | |
Cigna
| Professional | $257.87 | $257.87 | $257.87 | |
Kaiser Permanente
| Professional | $486.54 | $559.52 | $729.81 | |
United
| Professional | $204.35 | $218.94 | $437.89 | |
Wellpoint
| Professional | $243.27 | $243.27 | $243.27 |