| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1.00 | $4,432.35 | |
Aetna
| Professional | $691.22 | $857.77 | $2,118.96 | |
CareFirst
| Professional | $794.83 | $881.63 | $1,013.87 | |
Cigna
| Professional | $754.25 | $931.15 | $1,581.27 | |
Kaiser Permanente
| Professional | $965.15 | $1,246.52 | $2,119.77 | |
United
| Facility | $450.00 | $450.00 | $450.00 | |
United
| Professional | $725.10 | $952.14 | $1,848.56 | |
Wellpoint
| Professional | $744.47 | $882.29 | $1,115.26 |