| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.03 | $416.87 | $707.95 | |
CareFirst
| Professional | $478.63 | $537.03 | $645.65 | |
Cigna
| Professional | $302.00 | $436.52 | $870.96 | |
Kaiser Permanente
| Professional | $295.12 | $338.84 | $630.96 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $213.80 | $467.74 | $891.25 | |
Wellpoint
| Professional | $389.05 | $389.05 | $389.05 |