| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.05 | $1,050.26 | $4,137.27 | |
Aetna
| Professional | $101.92 | $112.02 | $288.88 | |
CareFirst
| Professional | $113.05 | $127.10 | $145.28 | |
Cigna
| Facility | $835.31 | $835.31 | $835.31 | |
Cigna
| Professional | $94.54 | $156.02 | $286.12 | |
Kaiser Permanente
| Professional | $100.50 | $127.64 | $150.75 | |
United
| Professional | $99.34 | $134.77 | $231.99 | |
Wellpoint
| Professional | $98.05 | $115.57 | $143.18 |