| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.69 | $241.38 | $290.75 | |
CareFirst
| Professional | $192.58 | $204.95 | $235.69 | |
Cigna
| Professional | $187.34 | $268.14 | $470.51 | |
Kaiser Permanente
| Professional | $286.17 | $337.22 | $573.67 | |
United
| Professional | $222.96 | $275.89 | $491.81 | |
Wellpoint
| Professional | $217.10 | $221.92 | $329.65 |