| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $662.78 | $760.72 | $923.69 | |
Aetna
| Professional | $292.60 | $540.00 | $540.00 | |
CareFirst
| Professional | $576.00 | $648.00 | $738.72 | |
Cigna
| Professional | $421.20 | $421.20 | $421.20 | |
Kaiser Permanente
| Professional | $720.00 | $864.00 | $1,080.00 | |
United
| Professional | $302.39 | $343.73 | $575.66 | |
Wellpoint
| Professional | $360.00 | $360.00 | $360.00 |