| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $337.56 | $409.88 | $419.35 | |
CareFirst
| Professional | $184.36 | $434.79 | $496.96 | |
Cigna
| Professional | $354.39 | $535.91 | $904.57 | |
Kaiser Permanente
| Professional | $342.33 | $441.61 | $789.36 | |
United
| Professional | $263.86 | $511.75 | $866.50 | |
Wellpoint
| Professional | $401.79 | $401.79 | $401.79 |