| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.13 | $278.20 | $479.54 | |
CareFirst
| Professional | $272.29 | $289.01 | $409.57 | |
Cigna
| Professional | $269.10 | $379.95 | $849.93 | |
Kaiser Permanente
| Professional | $254.12 | $324.16 | $477.31 | |
Kaiser Permanente
| Professional | 26 | $208.57 | $268.33 | $396.99 |
United
| Professional | $239.35 | $325.54 | $487.44 | |
Wellpoint
| Professional | $267.68 | $267.68 | $408.35 |