| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $964.92 | $977.96 | $1,069.24 | |
CareFirst
| Professional | $1,043.16 | $1,043.16 | $1,189.20 | |
Cigna
| Professional | $592.53 | $592.53 | $592.53 | |
Kaiser Permanente
| Professional | $1,303.95 | $1,499.54 | $1,955.93 | |
United
| Professional | $469.55 | $503.09 | $991.00 | |
Wellpoint
| Professional | $651.98 | $651.98 | $651.98 |