| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $588.84 | $1,513.56 | |
CareFirst
| Professional | $602.56 | $660.69 | $851.14 | |
Cigna
| Professional | $512.86 | $741.31 | $1,348.96 | |
Kaiser Permanente
| Professional | $562.34 | $630.96 | $1,023.29 | |
United
| Facility | $660.69 | $660.69 | $660.69 | |
United
| Professional | $489.78 | $660.69 | $1,202.26 | |
Wellpoint
| Professional | $549.54 | $707.95 | $831.76 |