| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.59 | $436.52 | $1,230.27 | |
CareFirst
| Professional | $389.05 | $426.58 | $501.19 | |
Cigna
| Professional | $363.08 | $512.86 | $891.25 | |
Kaiser Permanente
| Professional | $575.44 | $707.95 | $1,047.13 | |
United
| Facility | $446.68 | $446.68 | $707.95 | |
United
| Professional | $338.84 | $478.63 | $891.25 | |
Wellpoint
| Professional | $407.38 | $630.96 | $977.24 |