| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.29 | $366.09 | $699.24 | |
CareFirst
| Professional | $161.47 | $166.75 | $195.39 | |
Cigna
| Professional | $135.24 | $316.60 | $664.48 | |
Kaiser Permanente
| Professional | $232.05 | $397.40 | $699.19 | |
United
| Professional | $313.08 | $436.20 | $658.02 | |
Wellpoint
| Professional | $302.87 | $302.87 | $437.10 |