| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.40 | $323.59 | $446.68 | |
CareFirst
| Professional | $302.00 | $338.84 | $398.11 | |
Cigna
| Professional | $288.40 | $407.38 | $741.31 | |
Kaiser Permanente
| Professional | $239.88 | $354.81 | $501.19 | |
United
| Facility | $234.42 | $239.88 | $512.86 | |
United
| Professional | $263.03 | $380.19 | $676.08 | |
Wellpoint
| Professional | $281.84 | $346.74 | $501.19 |