| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.88 | $157.88 | $157.88 | |
Aetna
| Professional | $318.13 | $1,409.36 | $1,866.02 | |
CareFirst
| Professional | $285.80 | $285.80 | $371.54 | |
Cigna
| Professional | $312.94 | $923.56 | $2,273.23 | |
Kaiser Permanente
| Professional | $476.67 | $1,459.78 | $2,360.16 | |
United
| Professional | $1,149.20 | $1,564.88 | $2,531.35 | |
Wellpoint
| Professional | $248.79 | $1,351.65 | $1,755.15 |