| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.63 | $832.12 | $1,471.26 | |
Aetna
| Professional | $330.12 | $664.03 | $979.51 | |
CareFirst
| Professional | $363.99 | $375.51 | $460.90 | |
Cigna
| Professional | $330.69 | $636.26 | $1,076.07 | |
Kaiser Permanente
| Professional | $600.00 | $811.76 | $1,521.06 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $527.07 | $675.36 | $1,325.58 | |
Wellpoint
| Professional | $381.13 | $527.20 | $811.76 |