| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $384.80 | $390.00 | $390.00 | |
CareFirst
| Professional | $416.00 | $468.00 | $533.52 | |
Cigna
| Professional | $284.73 | $369.73 | $1,502.00 | |
Kaiser Permanente
| Professional | $520.00 | $624.00 | $780.00 | |
United
| Professional | $218.40 | $234.00 | $468.00 | |
Wellpoint
| Professional | $260.00 | $260.00 | $260.00 |