| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.04 | $295.12 | $380.19 | |
CareFirst
| Professional | $275.42 | $309.03 | $363.08 | |
Cigna
| Professional | $269.15 | $371.54 | $676.08 | |
Kaiser Permanente
| Professional | $218.78 | $323.59 | $457.09 | |
United
| Professional | $239.88 | $346.74 | $616.60 | |
Wellpoint
| Professional | $257.04 | $316.23 | $457.09 |