| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.26 | $692.86 | $883.33 | |
CareFirst
| Professional | $186.07 | $192.14 | $225.14 | |
Cigna
| Professional | $171.30 | $430.06 | $1,229.15 | |
Kaiser Permanente
| Professional | $453.92 | $780.73 | $1,365.49 | |
United
| Professional | $668.95 | $928.22 | $1,421.54 | |
Wellpoint
| Professional | $154.94 | $154.94 | $856.25 |