| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.53 | $284.51 | $3,338.58 | |
Aetna
| Professional | $191.46 | $237.22 | $601.76 | |
CareFirst
| Professional | $218.89 | $218.89 | $251.72 | |
Cigna
| Professional | $216.52 | $279.93 | $482.29 | |
Kaiser Permanente
| Professional | $294.58 | $356.78 | $580.02 | |
United
| Facility | $375.00 | $375.00 | $375.00 | |
United
| Professional | $215.28 | $295.98 | $611.54 | |
Wellpoint
| Professional | $223.84 | $251.36 | $340.89 |