| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.18 | $247.13 | $270.20 | |
CareFirst
| Professional | $329.51 | $362.46 | $413.20 | |
Cigna
| Professional | $170.75 | $203.60 | $809.63 | |
Kaiser Permanente
| Professional | $329.51 | $395.41 | $494.27 | |
United
| Professional | $138.38 | $148.28 | $263.45 | |
Wellpoint
| Professional | $164.76 | $164.76 | $164.76 |