| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $393.45 | $565.42 | $722.48 | |
CareFirst
| Professional | $674.31 | $674.31 | $752.01 | |
Cigna
| Professional | $75.52 | $766.82 | $766.82 | |
Kaiser Permanente
| Professional | $824.92 | $972.51 | $1,293.44 | |
United
| Professional | $370.13 | $506.94 | $764.10 | |
Wellpoint
| Professional | $610.79 | $656.52 | $935.09 |