| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $432.83 | $438.68 | $479.62 | |
CareFirst
| Professional | $526.41 | $584.90 | $666.79 | |
Cigna
| Professional | $320.44 | $432.74 | $1,437.38 | |
Kaiser Permanente
| Professional | $584.90 | $701.88 | $877.35 | |
United
| Professional | $257.36 | $304.14 | $532.25 | |
Wellpoint
| Professional | $292.45 | $292.45 | $292.45 |