| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $390.00 | $450.00 | $450.00 | |
CareFirst
| Professional | $480.00 | $552.00 | $629.28 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Kaiser Permanente
| Professional | $600.00 | $690.00 | $900.00 | |
United
| Professional | $252.00 | $270.00 | $540.00 | |
Wellpoint
| Professional | $300.00 | $477.00 | $477.00 |