| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $459.06 | $529.69 | $579.13 | |
CareFirst
| Professional | $565.00 | $635.63 | $769.11 | |
Cigna
| Professional | $374.31 | $374.31 | $374.31 | |
Kaiser Permanente
| Professional | $706.25 | $812.19 | $1,059.38 | |
United
| Professional | $296.63 | $337.16 | $571.98 | |
Wellpoint
| Professional | $353.13 | $353.13 | $353.13 |