| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $626.24 | $700.71 | $1,287.22 | |
CareFirst
| Professional | $846.27 | $930.90 | $1,186.93 | |
Cigna
| Professional | $448.52 | $601.60 | $3,022.46 | |
Kaiser Permanente
| Professional | $846.27 | $1,015.52 | $1,269.41 | |
United
| Professional | $355.43 | $389.28 | $770.09 | |
Wellpoint
| Professional | $423.14 | $423.14 | $423.14 |