| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $541.10 | $541.10 | $616.85 | |
Cigna
| Professional | $358.48 | $358.48 | $358.48 | |
Kaiser Permanente
| Professional | $676.37 | $811.64 | $1,014.56 | |
United
| Professional | $284.08 | $304.37 | $615.48 | |
Wellpoint
| Professional | $338.19 | $537.71 | $537.71 |