| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.59 | $380.19 | $501.19 | |
CareFirst
| Professional | $338.84 | $371.54 | $416.87 | |
Cigna
| Professional | $245.47 | $245.47 | $245.47 | |
Kaiser Permanente
| Professional | $467.74 | $537.03 | $707.95 | |
United
| Facility | $194.98 | $194.98 | $354.81 | |
United
| Professional | $194.98 | $208.93 | $380.19 | |
Wellpoint
| Professional | $234.42 | $234.42 | $234.42 |