| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $617.50 | $712.50 | $712.50 | |
CareFirst
| Professional | $760.00 | $855.00 | $974.70 | |
Cigna
| Professional | $503.50 | $503.50 | $555.75 | |
Kaiser Permanente
| Professional | $950.00 | $1,140.00 | $1,425.00 | |
United
| Professional | $399.00 | $437.00 | $855.00 | |
Wellpoint
| Professional | $475.00 | $475.00 | $475.00 |