| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,275.00 | $2,625.00 | $2,625.00 | |
CareFirst
| Professional | $2,800.00 | $3,220.00 | $3,670.80 | |
Cigna
| Professional | $1,855.00 | $1,855.00 | $1,855.00 | |
Kaiser Permanente
| Professional | $3,500.00 | $4,200.00 | $5,250.00 | |
United
| Professional | $1,470.00 | $1,575.00 | $2,798.39 | |
Wellpoint
| Professional | $1,750.00 | $2,782.50 | $2,782.50 |