| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,233.05 | $1,233.05 | $1,555.54 | |
CareFirst
| Professional | $1,517.60 | $1,517.60 | $4,348.00 | |
Cigna
| Professional | $1,005.41 | $1,005.41 | $1,005.41 | |
Kaiser Permanente
| Professional | $5,435.00 | $6,250.25 | $8,152.50 | |
United
| Professional | $796.74 | $905.63 | $2,445.75 | |
Wellpoint
| Professional | $2,717.50 | $2,717.50 | $2,717.50 |