| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.74 | $225.56 | $228.61 | |
CareFirst
| Professional | $243.85 | $243.85 | $277.99 | |
Cigna
| Professional | $161.55 | $216.76 | $880.58 | |
Kaiser Permanente
| Professional | $304.81 | $365.77 | $457.22 | |
United
| Professional | $128.02 | $137.16 | $243.71 | |
Wellpoint
| Professional | $152.41 | $152.41 | $152.41 |