| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,128.31 | $8,128.31 | $8,128.31 | |
Aetna
| Professional | $275.42 | $380.19 | $977.24 | |
CareFirst
| Professional | $302.00 | $338.84 | $389.05 | |
Cigna
| Professional | $281.84 | $380.19 | $676.08 | |
Kaiser Permanente
| Professional | $380.19 | $467.74 | $794.33 | |
United
| Facility | $954.99 | $954.99 | $1,621.81 | |
United
| Professional | $269.15 | $371.54 | $691.83 | |
Wellpoint
| Professional | $309.03 | $426.58 | $645.65 |