| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $304.63 | $330.93 | $373.99 | |
CareFirst
| Professional | $290.23 | $357.02 | $453.42 | |
Cigna
| Professional | $253.20 | $342.28 | $683.62 | |
Kaiser Permanente
| Professional | $275.89 | $355.90 | $589.95 | |
United
| Professional | $249.92 | $319.27 | $522.20 | |
Wellpoint
| Professional | $275.89 | $275.89 | $387.93 |