| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.81 | $252.10 | $281.39 | |
CareFirst
| Professional | $221.55 | $273.48 | $347.32 | |
Cigna
| Professional | $193.21 | $255.78 | $523.65 | |
Kaiser Permanente
| Professional | $210.53 | $271.58 | $450.34 | |
United
| Professional | $182.18 | $236.25 | $425.52 | |
Wellpoint
| Professional | $210.53 | $210.53 | $296.06 |