| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $354.81 | $501.19 | $1,148.15 | |
CareFirst
| Professional | $436.52 | $489.78 | $562.34 | |
Cigna
| Professional | $416.87 | $575.44 | $1,000.00 | |
Kaiser Permanente
| Professional | $549.54 | $724.44 | $1,230.27 | |
United
| Facility | $128.82 | $151.36 | $151.36 | |
United
| Professional | $380.19 | $549.54 | $1,000.00 | |
Wellpoint
| Professional | $446.68 | $645.65 | $1,000.00 |