| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $422.88 | $474.14 | $480.55 | |
CareFirst
| Professional | $461.32 | $512.58 | $697.11 | |
Cigna
| Professional | $339.59 | $668.63 | $835.78 | |
Kaiser Permanente
| Professional | $640.73 | $736.84 | $961.10 | |
United
| Professional | $269.11 | $320.37 | $583.04 | |
Wellpoint
| Professional | $208.00 | $1,232.17 | $1,579.71 |