| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.95 | $382.67 | $5,890.30 | |
Aetna
| Professional | $197.28 | $278.17 | $602.35 | |
CareFirst
| Professional | $236.86 | $237.01 | $272.56 | |
Cigna
| Professional | $215.22 | $305.61 | $538.84 | |
Kaiser Permanente
| Professional | $326.31 | $385.66 | $656.67 | |
United
| Facility | $375.00 | $375.00 | $375.00 | |
United
| Professional | $246.99 | $304.11 | $637.76 | |
Wellpoint
| Professional | $249.19 | $254.86 | $377.29 |