| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $549.54 | $707.95 | |
CareFirst
| Professional | $489.78 | $537.03 | $602.56 | |
Cigna
| Professional | $354.81 | $354.81 | $354.81 | |
Kaiser Permanente
| Professional | $676.08 | $776.25 | $1,023.29 | |
United
| Facility | $281.84 | $281.84 | $512.86 | |
United
| Professional | $281.84 | $302.00 | $549.54 | |
Wellpoint
| Professional | $338.84 | $537.03 | $537.03 |