| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $395.31 | $456.13 | $456.13 | |
CareFirst
| Professional | $486.54 | $486.54 | $554.66 | |
Cigna
| Professional | $322.33 | $322.33 | $322.33 | |
Kaiser Permanente
| Professional | $608.16 | $699.40 | $912.26 | |
United
| Professional | $255.43 | $273.68 | $553.41 | |
Wellpoint
| Professional | $304.08 | $304.08 | $304.08 |