| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,720.31 | $6,720.31 | $6,720.31 | |
Aetna
| Professional | $123.60 | $201.19 | $336.44 | |
CareFirst
| Professional | $120.01 | $133.34 | $153.34 | |
Cigna
| Professional | $117.35 | $191.56 | $334.75 | |
Kaiser Permanente
| Professional | $197.99 | $240.09 | $419.30 | |
United
| Facility | $375.00 | $375.00 | $375.00 | |
United
| Professional | $152.22 | $202.90 | $381.72 | |
Wellpoint
| Professional | $140.22 | $159.93 | $242.41 |