| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $250.76 | $386.17 | $532.91 | |
CareFirst
| Professional | $213.16 | $213.16 | $213.16 | |
Cigna
| Professional | $170.00 | $170.00 | $170.00 | |
Kaiser Permanente
| Professional | $344.86 | $446.29 | $608.58 | |
United
| Professional | $198.18 | $284.00 | $580.60 | |
Wellpoint
| Professional | $204.36 | $204.36 | $204.36 |