| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $391.37 | $562.40 | $570.00 | |
CareFirst
| Professional | $608.00 | $608.00 | $693.12 | |
Cigna
| Professional | $313.14 | $469.66 | $1,867.95 | |
Kaiser Permanente
| Professional | $760.00 | $912.00 | $1,140.00 | |
United
| Professional | $252.88 | $342.00 | $602.10 | |
Wellpoint
| Professional | $380.00 | $380.00 | $380.00 |