| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $331.13 | $426.58 | $1,479.11 | |
CareFirst
| Professional | $331.13 | $363.08 | $549.54 | |
Cigna
| Professional | $309.03 | $549.54 | $831.76 | |
Kaiser Permanente
| Professional | $323.59 | $363.08 | $707.95 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $323.59 | $501.19 | $794.33 | |
Wellpoint
| Professional | $323.59 | $371.54 | $501.19 |