| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.09 | $280.80 | $349.61 | |
CareFirst
| Professional | $257.73 | $257.73 | $293.35 | |
Cigna
| Professional | $221.95 | $357.63 | $688.19 | |
Kaiser Permanente
| Professional | $320.25 | $413.12 | $672.89 | |
United
| Professional | $264.42 | $375.20 | $668.42 | |
Wellpoint
| Professional | $320.25 | $368.29 | $457.70 |