| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.50 | $206.46 | $825.00 | |
CareFirst
| Professional | $223.20 | $223.20 | $254.45 | |
Cigna
| Professional | $84.35 | $198.31 | $805.86 | |
Kaiser Permanente
| Professional | $279.00 | $334.80 | $418.50 | |
United
| Professional | $70.86 | $125.55 | $225.96 | |
Wellpoint
| Professional | $139.50 | $221.81 | $221.81 |