| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $549.54 | $2,137.96 | |
Aetna
| Professional | $263.03 | $512.86 | $1,548.82 | |
CareFirst
| Professional | $251.19 | $288.40 | $436.52 | |
Cigna
| Professional | $288.40 | $457.09 | $758.58 | |
Kaiser Permanente
| Professional | $416.87 | $549.54 | $1,000.00 | |
United
| Facility | $128.82 | $151.36 | $151.36 | |
United
| Professional | $295.12 | $467.74 | $794.33 | |
Wellpoint
| Professional | $275.42 | $489.78 | $758.58 |