| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $380.19 | $380.19 | |
Aetna
| Professional | $194.98 | $295.12 | $812.83 | |
CareFirst
| Professional | $229.09 | $251.19 | $295.12 | |
Cigna
| Professional | $213.80 | $302.00 | $537.03 | |
Kaiser Permanente
| Professional | $302.00 | $371.54 | $660.69 | |
United
| Facility | $371.54 | $371.54 | $426.58 | |
United
| Professional | $194.98 | $288.40 | $524.81 | |
Wellpoint
| Professional | $213.80 | $338.84 | $512.86 |