| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $356.53 | $557.15 | $955.50 | |
CareFirst
| Professional | $294.41 | $294.41 | $338.57 | |
Cigna
| Professional | $341.03 | $532.92 | $903.85 | |
Kaiser Permanente
| Professional | $558.79 | $647.04 | $1,107.68 | |
United
| Facility | $450.00 | $450.00 | $450.00 | |
United
| Professional | $379.44 | $545.90 | $1,163.23 | |
Wellpoint
| Professional | $389.20 | $437.22 | $661.00 |