| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $178.64 | $206.12 | $225.36 | |
CareFirst
| Professional | $274.83 | $302.31 | $344.63 | |
Cigna
| Professional | $150.53 | $204.15 | $1,411.50 | |
Kaiser Permanente
| Professional | $274.83 | $329.80 | $412.25 | |
United
| Professional | $115.43 | $123.67 | $247.35 | |
Wellpoint
| Professional | $137.41 | $218.48 | $218.48 |