| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.38 | $333.97 | $458.83 | |
CareFirst
| Professional | $161.01 | $170.87 | $194.82 | |
Cigna
| Professional | $133.47 | $294.56 | $650.34 | |
Kaiser Permanente
| Professional | $224.14 | $365.44 | $648.35 | |
United
| Professional | $297.24 | $423.71 | $856.98 | |
Wellpoint
| Professional | $285.64 | $285.64 | $402.99 |