| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $225.36 | $255.35 | $325.23 | |
CareFirst
| Professional | $281.39 | $312.66 | $378.32 | |
Cigna
| Professional | $221.26 | $349.78 | $642.99 | |
Kaiser Permanente
| Professional | $189.05 | $269.52 | $374.95 | |
United
| Professional | $206.17 | $303.37 | $497.11 | |
Wellpoint
| Professional | $223.08 | $295.08 | $369.50 |