| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $80.33 | $3,755.08 | |
Aetna
| Professional | $180.74 | $252.67 | $1,627.57 | |
CareFirst
| Professional | $237.77 | $237.77 | $273.44 | |
Cigna
| Facility | $1,335.00 | $1,335.00 | $1,335.00 | |
Cigna
| Professional | $193.85 | $279.66 | $541.37 | |
Kaiser Permanente
| Professional | $216.66 | $286.93 | $364.90 | |
United
| Facility | $36.00 | $36.00 | $41.00 | |
United
| Professional | $168.81 | $253.21 | $482.78 | |
Wellpoint
| Professional | $206.31 | $255.79 | $309.08 |