| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $512.86 | $588.84 | $724.44 | |
CareFirst
| Professional | $524.81 | $575.44 | $645.65 | |
Cigna
| Professional | $380.19 | $380.19 | $380.19 | |
Kaiser Permanente
| Professional | $724.44 | $831.76 | $1,096.48 | |
United
| Facility | $302.00 | $302.00 | $549.54 | |
United
| Professional | $302.00 | $323.59 | $588.84 | |
Wellpoint
| Professional | $363.08 | $363.08 | $363.08 |