| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $243.91 | $277.69 | $281.44 | |
CareFirst
| Professional | $300.20 | $300.20 | $342.23 | |
Cigna
| Professional | $194.45 | $231.83 | $922.31 | |
Kaiser Permanente
| Professional | $375.25 | $450.30 | $562.88 | |
United
| Professional | $157.61 | $168.86 | $236.41 | |
Wellpoint
| Professional | $187.63 | $187.63 | $187.63 |