| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.83 | $593.51 | $897.25 | |
CareFirst
| Professional | $175.85 | $176.33 | $213.36 | |
Cigna
| Professional | $160.53 | $403.87 | $1,138.58 | |
Kaiser Permanente
| Professional | $355.46 | $611.40 | $1,094.14 | |
United
| Professional | $204.06 | $779.19 | $1,408.54 | |
Wellpoint
| Professional | $473.95 | $473.95 | $670.52 |