| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $255.72 | $259.18 | $306.44 | |
CareFirst
| Professional | $345.57 | $380.13 | $482.77 | |
Cigna
| Professional | $189.29 | $265.70 | $849.07 | |
Kaiser Permanente
| Professional | $345.57 | $414.68 | $659.35 | |
United
| Professional | $155.51 | $198.00 | $311.01 | |
Wellpoint
| Professional | $172.79 | $339.17 | $339.17 |