| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $331.13 | |
Aetna
| Professional | $30.20 | $50.12 | $446.68 | |
CareFirst
| Professional | $3.09 | $3.89 | $6.31 | |
Cigna
| Professional | $144.54 | $213.80 | $281.84 | |
Kaiser Permanente
| Professional | $181.97 | $245.47 | $316.23 | |
United
| Professional | $44.67 | $60.26 | $87.10 | |
Wellpoint
| Professional | $69.18 | $69.18 | $100.00 |