| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.48 | $227.92 | $231.00 | |
CareFirst
| Professional | $167.47 | $246.40 | $280.89 | |
Cigna
| Professional | $88.37 | $202.54 | $757.32 | |
Kaiser Permanente
| Professional | $308.00 | $369.60 | $462.00 | |
United
| Professional | $67.72 | $138.60 | $234.08 | |
Wellpoint
| Professional | $154.00 | $244.86 | $244.86 |