| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.16 | $463.97 | $540.48 | |
CareFirst
| Professional | $205.42 | $222.41 | $254.22 | |
Cigna
| Professional | $192.00 | $490.57 | $1,067.84 | |
Kaiser Permanente
| Professional | $410.45 | $601.67 | $1,046.40 | |
United
| Professional | $214.88 | $543.97 | $999.11 | |
Wellpoint
| Professional | $386.30 | $439.44 | $680.16 |