| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,659.59 | $1,905.46 | $3,630.78 | |
CareFirst
| Professional | $3,548.13 | $3,981.07 | $4,466.84 | |
Cigna
| Professional | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $4,786.30 | $5,495.41 | $7,413.10 | |
United
| Professional | $1,047.13 | $1,148.15 | $2,238.72 | |
Wellpoint
| Professional | $2,454.71 | $2,454.71 | $2,454.71 |