| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.65 | $344.40 | $836.87 | |
Aetna
| Professional | $299.25 | $580.32 | $1,114.54 | |
CareFirst
| Professional | $327.11 | $327.11 | $415.43 | |
Cigna
| Professional | $296.76 | $579.29 | $982.13 | |
Kaiser Permanente
| Professional | $564.25 | $763.39 | $1,431.88 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $487.15 | $661.09 | $1,243.51 | |
Wellpoint
| Professional | $342.33 | $493.00 | $763.39 |