| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.15 | $458.46 | $618.15 | |
CareFirst
| Professional | $653.50 | $849.55 | $849.55 | |
Cigna
| Professional | $59.64 | $577.92 | $577.92 | |
Kaiser Permanente
| Professional | $621.72 | $769.95 | $1,055.46 | |
United
| Professional | $397.71 | $535.39 | $886.16 | |
Wellpoint
| Professional | $560.19 | $677.10 | $677.10 |