| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $1.00 | $2,405.77 | |
Aetna
| Professional | $50.14 | $145.78 | $317.05 | |
CareFirst
| Professional | $53.47 | $56.43 | $67.48 | |
Cigna
| Facility | $57.23 | $57.23 | $57.23 | |
Cigna
| Professional | $51.52 | $108.53 | $248.24 | |
Kaiser Permanente
| Professional | $80.76 | $136.30 | $234.40 | |
United
| Facility | $128.00 | $128.00 | $128.00 | |
United
| Professional | $124.08 | $178.93 | $276.95 | |
Wellpoint
| Professional | $50.24 | $117.28 | $164.06 |