| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $304.20 | $351.00 | $1,500.00 | |
CareFirst
| Professional | $514.79 | $561.60 | $640.22 | |
Cigna
| Professional | $242.41 | $289.17 | $1,150.07 | |
Kaiser Permanente
| Professional | $468.00 | $561.60 | $702.00 | |
United
| Professional | $196.56 | $210.60 | $374.18 | |
Wellpoint
| Professional | $234.00 | $372.06 | $372.06 |