| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.80 | $497.80 | $497.80 | |
Aetna
| Professional | $498.14 | $498.14 | $637.17 | |
CareFirst
| Professional | $497.80 | $497.80 | $498.14 | |
Cigna
| Professional | $498.14 | $498.14 | $634.41 | |
Kaiser Permanente
| Professional | $498.14 | $498.14 | $522.91 | |
United
| Professional | $498.14 | $498.14 | $581.02 | |
Wellpoint
| Professional | $493.68 | $493.68 | $493.68 |