| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $499.80 | $574.09 | $650.00 | |
CareFirst
| Professional | $540.32 | $607.86 | $778.06 | |
Cigna
| Professional | $354.46 | $444.22 | $1,660.31 | |
Kaiser Permanente
| Professional | $675.40 | $810.48 | $1,013.10 | |
United
| Professional | $271.42 | $303.93 | $540.01 | |
Wellpoint
| Professional | $337.70 | $536.94 | $536.94 |