| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.89 | $289.16 | $293.06 | |
CareFirst
| Professional | $281.33 | $312.60 | $425.14 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Kaiser Permanente
| Professional | $390.75 | $488.44 | $586.13 | |
United
| Professional | $164.12 | $175.84 | $355.57 | |
Wellpoint
| Professional | $6.23 | $6.39 | $7.99 |