| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
Aetna
| Professional | $114.82 | $741.31 | $2,290.87 | |
CareFirst
| Professional | $120.23 | $131.83 | $190.55 | |
Cigna
| Facility | $204.17 | $575.44 | $630.96 | |
Cigna
| Professional | $120.23 | $363.08 | $1,905.46 | |
Kaiser Permanente
| Professional | $776.25 | $1,412.54 | $1,949.84 | |
United
| Facility | $213.80 | $338.84 | $1,000.00 | |
United
| Professional | $114.82 | $758.58 | $1,862.09 | |
Wellpoint
| Professional | $107.15 | $1,584.89 | $1,905.46 |