| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.00 | $248.25 | $271.42 | |
CareFirst
| Professional | $236.37 | $264.80 | $301.87 | |
Cigna
| Professional | $104.04 | $217.56 | $813.66 | |
Kaiser Permanente
| Professional | $331.00 | $397.20 | $496.50 | |
United
| Professional | $77.54 | $148.94 | $268.07 | |
Wellpoint
| Professional | $165.50 | $263.14 | $263.14 |