| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.38 | $218.52 | $238.92 | |
CareFirst
| Professional | $233.09 | $233.09 | $265.72 | |
Cigna
| Professional | $150.79 | $180.08 | $716.28 | |
Kaiser Permanente
| Professional | $291.36 | $349.63 | $437.04 | |
United
| Professional | $122.37 | $131.11 | $265.13 | |
Wellpoint
| Professional | $145.68 | $145.68 | $145.68 |