| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $184.88 | $204.10 | $264.30 | |
CareFirst
| Professional | $230.58 | $256.20 | $310.00 | |
Cigna
| Professional | $182.05 | $287.27 | $529.45 | |
Kaiser Permanente
| Professional | $155.19 | $221.97 | $309.43 | |
United
| Professional | $169.93 | $250.04 | $439.26 | |
Wellpoint
| Professional | $183.80 | $242.79 | $304.27 |