| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $630.96 | $776.25 | $2,238.72 | |
CareFirst
| Professional | $707.95 | $794.33 | $912.01 | |
Cigna
| Professional | $676.08 | $891.25 | $1,479.11 | |
Kaiser Permanente
| Professional | $870.96 | $1,071.52 | $1,995.26 | |
United
| Facility | $1,023.29 | $1,023.29 | $2,238.72 | |
United
| Professional | $630.96 | $870.96 | $1,548.82 | |
Wellpoint
| Professional | $660.69 | $954.99 | $1,479.11 |