| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $545.83 | $545.83 | $622.25 | |
Cigna
| Professional | $361.61 | $361.61 | $361.61 | |
Kaiser Permanente
| Professional | $682.29 | $818.75 | $1,023.44 | |
United
| Professional | $286.56 | $307.02 | $614.05 | |
Wellpoint
| Professional | $341.15 | $542.41 | $542.41 |