| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.05 | $239.12 | $293.31 | |
CareFirst
| Professional | $189.52 | $207.76 | $238.92 | |
Cigna
| Professional | $190.40 | $273.95 | $479.71 | |
Kaiser Permanente
| Professional | $293.73 | $346.29 | $583.79 | |
United
| Professional | $216.58 | $288.72 | $607.53 | |
Wellpoint
| Professional | $220.34 | $225.21 | $338.54 |