| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $630.66 | $630.66 | $630.66 | |
CareFirst
| Professional | $731.20 | $822.60 | $937.76 | |
Cigna
| Professional | $484.42 | $649.77 | $2,639.84 | |
Kaiser Permanente
| Professional | $914.00 | $1,096.80 | $1,371.00 | |
United
| Professional | $383.88 | $420.44 | $831.72 | |
Wellpoint
| Professional | $457.00 | $457.00 | $457.00 |