| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $486.45 | $553.80 | $561.29 | |
CareFirst
| Professional | $598.71 | $673.55 | $767.85 | |
Cigna
| Professional | $396.65 | $396.65 | $396.65 | |
Kaiser Permanente
| Professional | $748.39 | $898.07 | $1,122.58 | |
United
| Professional | $314.32 | $336.78 | $658.58 | |
Wellpoint
| Professional | $374.20 | $374.20 | $374.20 |