| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $833.90 | $899.21 | $1,003.66 | |
CareFirst
| Professional | $866.97 | $954.96 | $1,212.80 | |
Cigna
| Professional | $689.28 | $913.28 | $1,862.98 | |
Kaiser Permanente
| Professional | $751.81 | $969.83 | $1,602.07 | |
United
| Professional | $652.77 | $841.09 | $1,424.13 | |
Wellpoint
| Professional | $646.39 | $646.39 | $1,056.61 |