| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $602.56 | $794.33 | |
CareFirst
| Professional | $537.03 | $602.56 | $691.83 | |
Cigna
| Professional | $870.96 | $870.96 | $1,071.52 | |
Kaiser Permanente
| Professional | $707.95 | $794.33 | $1,122.02 | |
United
| Facility | $316.23 | $354.81 | $758.58 | |
United
| Professional | $316.23 | $354.81 | $724.44 | |
Wellpoint
| Professional | $331.13 | $416.87 | $1,122.02 |