| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.80 | $240.00 | $242.88 | |
CareFirst
| Professional | $256.00 | $288.00 | $328.32 | |
Cigna
| Professional | $169.60 | $227.52 | $924.09 | |
Kaiser Permanente
| Professional | $320.00 | $384.00 | $480.00 | |
United
| Professional | $134.40 | $144.00 | $288.00 | |
Wellpoint
| Professional | $160.00 | $254.40 | $254.40 |