| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,875.78 | $4,562.13 | $8,194.94 | |
Aetna
| Professional | $139.10 | $542.48 | $1,060.98 | |
CareFirst
| Professional | $161.60 | $161.60 | $184.71 | |
Cigna
| Facility | $557.01 | $557.01 | $557.01 | |
Cigna
| Professional | $161.28 | $517.05 | $1,278.11 | |
Kaiser Permanente
| Professional | $496.70 | $840.58 | $1,340.88 | |
United
| Professional | $569.64 | $756.07 | $1,434.32 | |
Wellpoint
| Professional | $175.40 | $561.83 | $994.53 |