| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.86 | $325.60 | $330.00 | |
CareFirst
| Professional | $352.00 | $352.00 | $503.13 | |
Cigna
| Professional | $99.59 | $289.24 | $1,081.66 | |
Kaiser Permanente
| Professional | $440.00 | $528.00 | $660.00 | |
United
| Professional | $74.20 | $198.00 | $277.20 | |
Wellpoint
| Professional | $220.00 | $349.80 | $349.80 |