| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.18 | $247.13 | $270.20 | |
CareFirst
| Professional | $263.61 | $263.61 | $334.78 | |
Cigna
| Professional | $161.97 | $203.60 | $809.63 | |
Kaiser Permanente
| Professional | $329.51 | $395.41 | $494.27 | |
United
| Professional | $138.38 | $148.28 | $299.85 | |
Wellpoint
| Professional | $164.76 | $261.95 | $261.95 |