| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $391.76 | $446.00 | $452.03 | |
CareFirst
| Professional | $482.16 | $554.48 | $632.11 | |
Cigna
| Professional | $319.43 | $319.43 | $319.43 | |
Kaiser Permanente
| Professional | $602.70 | $693.11 | $904.05 | |
United
| Professional | $253.13 | $271.22 | $542.42 | |
Wellpoint
| Professional | $301.35 | $479.15 | $479.15 |