| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $270.91 | $312.58 | $312.58 | |
CareFirst
| Professional | $333.42 | $333.42 | $380.10 | |
Cigna
| Professional | $220.89 | $220.89 | $220.89 | |
Kaiser Permanente
| Professional | $416.78 | $479.30 | $625.16 | |
United
| Professional | $175.05 | $187.55 | $379.26 | |
Wellpoint
| Professional | $208.39 | $208.39 | $208.39 |