| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.45 | $207.20 | $210.00 | |
CareFirst
| Professional | $280.00 | $308.00 | $702.38 | |
Cigna
| Professional | $148.40 | $199.08 | $808.69 | |
Kaiser Permanente
| Professional | $280.00 | $336.00 | $420.00 | |
United
| Professional | $117.60 | $126.00 | $246.40 | |
Wellpoint
| Professional | $140.00 | $222.60 | $222.60 |