| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $630.96 | $776.25 | $1,174.90 | |
CareFirst
| Professional | $691.83 | $758.58 | $912.01 | |
Cigna
| Professional | $616.60 | $812.83 | $1,659.59 | |
Kaiser Permanente
| Professional | $660.69 | $758.58 | $1,318.26 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $562.34 | $776.25 | $1,412.54 | |
Wellpoint
| Professional | $524.81 | $776.25 | $1,023.29 |