| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $2,333.28 | $2,333.28 | $2,659.94 | |
Cigna
| Professional | $1,545.80 | $1,545.80 | $1,545.80 | |
Kaiser Permanente
| Professional | $2,916.60 | $3,499.92 | $4,374.89 | |
United
| Professional | $1,224.97 | $1,312.47 | $2,654.05 | |
Wellpoint
| Professional | $1,458.30 | $1,458.30 | $1,458.30 |