| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.60 | $623.41 | $829.39 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
CareFirst
| Professional | $333.42 | $333.42 | $333.42 | |
Cigna
| Professional | $416.78 | $416.78 | $416.78 | |
Kaiser Permanente
| Professional | $416.78 | $500.14 | $736.38 | |
United
| Professional | $175.05 | $208.39 | $379.26 | |
Wellpoint
| Professional | $208.39 | $416.78 | $416.78 |