| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $287.83 | $474.97 | $545.57 | |
CareFirst
| Professional | $513.48 | $513.48 | $999.20 | |
Cigna
| Professional | $162.22 | $422.14 | $1,611.31 | |
Kaiser Permanente
| Professional | $641.85 | $770.22 | $962.78 | |
United
| Professional | $120.89 | $288.83 | $404.37 | |
Wellpoint
| Professional | $320.93 | $510.27 | $510.27 |