| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.61 | $277.69 | $281.44 | |
CareFirst
| Professional | $300.20 | $300.20 | $415.63 | |
Cigna
| Professional | $52.55 | $246.69 | $922.31 | |
Kaiser Permanente
| Professional | $375.25 | $450.30 | $562.88 | |
United
| Professional | $39.15 | $168.86 | $229.65 | |
Wellpoint
| Professional | $187.63 | $298.32 | $298.32 |