| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.80 | $520.16 | $803.77 | |
CareFirst
| Professional | $153.91 | $159.41 | $204.06 | |
Cigna
| Professional | $145.36 | $433.88 | $1,260.24 | |
Kaiser Permanente
| Professional | $492.13 | $640.09 | $1,394.65 | |
United
| Professional | $513.91 | $734.54 | $1,235.99 | |
Wellpoint
| Professional | $136.81 | $565.95 | $698.58 |