| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $525.20 | $566.66 | $632.37 | |
CareFirst
| Professional | $497.13 | $613.09 | $778.62 | |
Cigna
| Professional | $434.73 | $587.42 | $1,173.92 | |
Kaiser Permanente
| Professional | $474.13 | $611.63 | $1,010.52 | |
United
| Professional | $430.00 | $572.71 | $956.33 | |
Wellpoint
| Professional | $474.13 | $474.13 | $666.36 |