| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $581.95 | $1,024.17 | |
Aetna
| Professional | $75.69 | $391.25 | $1,780.00 | |
CareFirst
| Professional | $94.14 | $96.82 | $135.07 | |
Cigna
| Professional | $77.78 | $369.24 | $974.54 | |
Kaiser Permanente
| Professional | $377.32 | $494.66 | $1,073.77 | |
United
| Professional | $427.66 | $627.98 | $1,030.01 | |
Wellpoint
| Professional | $377.32 | $433.92 | $535.22 |