| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.14 | $871.13 | $3,278.07 | |
Aetna
| Professional | $83.87 | $379.92 | $1,348.80 | |
CareFirst
| Professional | $88.82 | $92.77 | $112.25 | |
Cigna
| Facility | $666.87 | $666.87 | $666.87 | |
Cigna
| Professional | $82.89 | $210.67 | $758.63 | |
Kaiser Permanente
| Professional | $285.70 | $491.43 | $892.38 | |
United
| Professional | $360.23 | $460.25 | $807.81 | |
Wellpoint
| Professional | $348.90 | $348.90 | $540.59 |