| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.86 | $764.43 | $2,080.88 | |
Aetna
| Professional | $82.59 | $371.95 | $1,287.75 | |
CareFirst
| Professional | $102.86 | $103.63 | $144.57 | |
Cigna
| Professional | $84.55 | $340.84 | $930.30 | |
Kaiser Permanente
| Professional | $367.62 | $481.39 | $1,023.39 | |
United
| Professional | $389.59 | $609.77 | $989.24 | |
Wellpoint
| Professional | $367.62 | $422.76 | $521.88 |