| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $493.38 | $569.29 | $569.29 | |
CareFirst
| Professional | $607.24 | $683.15 | $778.79 | |
Cigna
| Professional | $402.30 | $402.30 | $444.04 | |
Kaiser Permanente
| Professional | $759.05 | $910.86 | $1,325.30 | |
United
| Professional | $318.80 | $341.57 | $690.72 | |
Wellpoint
| Professional | $379.53 | $379.53 | $379.53 |