| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $388.64 | $448.43 | $448.43 | |
CareFirst
| Professional | $478.33 | $538.12 | $613.46 | |
Cigna
| Professional | $316.89 | $316.89 | $349.78 | |
Kaiser Permanente
| Professional | $597.91 | $717.49 | $896.87 | |
United
| Professional | $251.12 | $269.06 | $484.24 | |
Wellpoint
| Professional | $298.95 | $298.95 | $298.95 |