| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.66 | $336.37 | $387.06 | |
CareFirst
| Professional | $335.69 | $366.92 | $419.39 | |
Cigna
| Professional | $266.35 | $346.58 | $715.08 | |
Kaiser Permanente
| Professional | $292.07 | $376.77 | $620.32 | |
United
| Professional | $249.77 | $328.91 | $547.51 | |
Wellpoint
| Professional | $232.36 | $232.36 | $409.20 |