| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.69 | $409.09 | $6,739.66 | |
Aetna
| Professional | $203.15 | $286.91 | $631.66 | |
CareFirst
| Professional | $226.97 | $228.45 | $262.72 | |
Cigna
| Professional | $221.48 | $321.63 | $573.58 | |
Kaiser Permanente
| Professional | $347.98 | $409.41 | $698.85 | |
United
| Facility | $450.00 | $450.00 | $450.00 | |
United
| Professional | $259.95 | $334.67 | $601.65 | |
Wellpoint
| Professional | $259.48 | $270.38 | $402.38 |