| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,673.52 | $1,930.99 | $1,930.99 | |
CareFirst
| Professional | $2,059.71 | $2,368.67 | $2,700.30 | |
Cigna
| Professional | $1,364.56 | $1,364.56 | $1,364.56 | |
Kaiser Permanente
| Professional | $2,574.65 | $2,960.85 | $3,861.98 | |
United
| Professional | $1,081.34 | $1,287.33 | $2,317.19 | |
Wellpoint
| Professional | $1,287.33 | $1,287.33 | $1,287.33 |