| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $855.35 | $5,478.16 | |
Aetna
| Facility | AS | $0.98 | $0.98 | $0.98 |
Aetna
| Professional | $528.77 | $634.22 | $3,376.63 | |
CareFirst
| Professional | $669.41 | $676.99 | $920.52 | |
Cigna
| Facility | $507.00 | $518.54 | $1,490.90 | |
Cigna
| Professional | $576.12 | $835.70 | $1,364.79 | |
Kaiser Permanente
| Professional | $630.19 | $812.95 | $1,111.19 | |
United
| Facility | $1,003.00 | $1,003.00 | $2,156.00 | |
United
| Professional | $494.62 | $683.00 | $1,265.21 | |
Wellpoint
| Professional | $603.02 | $724.72 | $890.93 |