| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $397.52 | $595.41 | $812.63 | |
Aetna
| Professional | $185.74 | $418.43 | $962.06 | |
CareFirst
| Professional | $184.31 | $193.60 | $222.64 | |
Cigna
| Professional | $176.12 | $371.51 | $630.99 | |
Kaiser Permanente
| Professional | $363.00 | $491.12 | $923.00 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $315.18 | $411.15 | $746.16 | |
Wellpoint
| Professional | $203.17 | $310.24 | $491.12 |