| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $97.00 | $3,237.95 | |
Aetna
| Professional | $230.18 | $411.43 | $1,953.58 | |
Aetna
| Professional | AS | $68.20 | $136.16 | $313.02 |
CareFirst
| Professional | $316.23 | $316.23 | $354.18 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Cigna
| Professional | $246.57 | $357.38 | $818.53 | |
Kaiser Permanente
| Professional | $264.89 | $350.79 | $534.15 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $217.11 | $289.10 | $501.10 | |
Wellpoint
| Professional | $266.68 | $312.72 | $377.92 |