| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $438.45 | $473.79 | $1,704.18 | |
CareFirst
| Professional | $437.25 | $510.76 | $694.40 | |
Cigna
| Professional | $364.22 | $684.56 | $1,039.55 | |
Kaiser Permanente
| Professional | $399.94 | $515.91 | $846.48 | |
United
| Professional | $393.97 | $588.20 | $1,006.34 | |
Wellpoint
| Professional | $399.94 | $399.94 | $560.16 |