| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $379.75 | $438.17 | $479.07 | |
CareFirst
| Professional | $525.80 | $584.23 | $666.02 | |
Cigna
| Professional | $302.50 | $361.01 | $1,435.77 | |
Kaiser Permanente
| Professional | $584.23 | $701.08 | $876.35 | |
United
| Professional | $245.38 | $292.12 | $473.16 | |
Wellpoint
| Professional | $292.12 | $464.46 | $464.46 |