| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $474.43 | $5,060.43 | |
Aetna
| Professional | $232.12 | $363.25 | $790.72 | |
CareFirst
| Professional | $258.43 | $287.14 | $330.21 | |
Cigna
| Professional | $244.16 | $376.32 | $661.23 | |
Kaiser Permanente
| Professional | $402.68 | $500.08 | $920.44 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $308.45 | $400.82 | $754.08 | |
Wellpoint
| Professional | $280.64 | $318.27 | $466.70 |