| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.19 | $438.68 | $438.68 | |
CareFirst
| Professional | $467.92 | $538.11 | $613.45 | |
Cigna
| Professional | $310.00 | $310.00 | $310.00 | |
Kaiser Permanente
| Professional | $584.90 | $672.64 | $877.35 | |
United
| Professional | $245.66 | $263.20 | $532.25 | |
Wellpoint
| Professional | $292.45 | $465.00 | $465.00 |