| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.99 | $246.45 | $848.06 | |
Aetna
| Professional | $173.16 | $284.01 | $641.32 | |
CareFirst
| Professional | $167.65 | $177.95 | $204.64 | |
Cigna
| Professional | $196.67 | $315.19 | $521.66 | |
Kaiser Permanente
| Professional | $319.77 | $392.87 | $659.45 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $236.78 | $311.64 | $577.34 | |
Wellpoint
| Professional | $225.40 | $248.65 | $397.54 |