| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $387.92 | $456.30 | $640.32 | |
CareFirst
| Professional | $603.25 | $603.25 | $603.25 | |
Cigna
| Professional | $643.37 | $643.37 | $643.37 | |
Kaiser Permanente
| Professional | $734.35 | $902.23 | $1,223.92 | |
United
| Professional | $345.35 | $465.16 | $761.73 | |
Wellpoint
| Professional | $532.37 | $532.37 | $532.37 |