| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $286.52 | $441.26 | $608.94 | |
CareFirst
| Professional | $243.56 | $243.56 | $243.56 | |
Cigna
| Professional | $208.25 | $208.25 | $208.25 | |
Kaiser Permanente
| Professional | $394.06 | $509.96 | $695.40 | |
United
| Professional | $226.46 | $324.52 | $663.42 | |
Wellpoint
| Professional | $92.35 | $92.35 | $233.51 |