| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,155.39 | $4,155.39 | $4,155.39 | |
Aetna
| Professional | $203.66 | $290.08 | $596.38 | |
CareFirst
| Professional | $225.42 | $225.42 | $286.27 | |
Cigna
| Professional | $209.75 | $321.83 | $565.96 | |
Kaiser Permanente
| Professional | $345.57 | $433.82 | $796.04 | |
United
| Facility | $450.00 | $450.00 | $450.00 | |
United
| Professional | $267.14 | $363.11 | $745.08 | |
Wellpoint
| Professional | $239.16 | $260.27 | $406.49 |