| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.69 | $881.44 | $3,031.97 | |
Aetna
| Professional | $117.40 | $274.30 | $659.55 | |
CareFirst
| Professional | $133.22 | $133.22 | $173.20 | |
Cigna
| Professional | $129.40 | $256.60 | $557.65 | |
Kaiser Permanente
| Professional | $196.22 | $326.02 | $495.44 | |
United
| Professional | $234.50 | $317.39 | $557.02 | |
Wellpoint
| Professional | $129.53 | $279.68 | $392.44 |