| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $493.38 | $569.29 | $569.29 | |
CareFirst
| Professional | $607.24 | $607.24 | $692.25 | |
Cigna
| Professional | $402.30 | $402.30 | $402.30 | |
Kaiser Permanente
| Professional | $759.05 | $872.91 | $1,138.58 | |
United
| Professional | $318.80 | $362.37 | $606.89 | |
Wellpoint
| Professional | $379.53 | $379.53 | $379.53 |