| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $331.13 | $331.13 | |
Aetna
| Professional | $51.29 | $112.20 | $288.40 | |
CareFirst
| Professional | $56.23 | $61.66 | $72.44 | |
Cigna
| Professional | $48.98 | $100.00 | $169.82 | |
Kaiser Permanente
| Professional | $102.33 | $134.90 | $223.87 | |
United
| Facility | $128.82 | $151.36 | $151.36 | |
United
| Professional | $52.48 | $97.72 | $181.97 | |
Wellpoint
| Professional | $45.71 | $120.23 | $186.21 |