| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.26 | $221.84 | $586.59 | |
CareFirst
| Professional | $236.63 | $236.63 | $269.76 | |
Cigna
| Professional | $153.40 | $182.86 | $726.74 | |
Kaiser Permanente
| Professional | $295.79 | $354.95 | $443.69 | |
United
| Professional | $124.23 | $133.11 | $260.30 | |
Wellpoint
| Professional | $147.90 | $235.15 | $235.15 |