| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.65 | $476.13 | $476.13 | |
CareFirst
| Professional | $507.87 | $507.87 | $578.97 | |
Cigna
| Professional | $336.47 | $336.47 | $336.47 | |
Kaiser Permanente
| Professional | $634.84 | $730.07 | $952.26 | |
United
| Professional | $266.63 | $285.68 | $571.36 | |
Wellpoint
| Professional | $317.42 | $317.42 | $317.42 |