| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $405.60 | $448.38 | $566.61 | |
CareFirst
| Professional | $381.50 | $423.89 | $487.47 | |
Cigna
| Professional | $369.41 | $521.01 | $866.17 | |
Kaiser Permanente
| Professional | $564.34 | $698.71 | $1,169.51 | |
United
| Facility | $450.00 | $450.00 | $450.00 | |
United
| Professional | $398.99 | $521.67 | $960.11 | |
Wellpoint
| Professional | $403.67 | $453.52 | $655.22 |