| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.66 | $369.66 | $600.83 | |
Aetna
| Professional | $133.72 | $215.61 | $218.52 | |
CareFirst
| Professional | $209.78 | $233.09 | $270.08 | |
Cigna
| Professional | $159.66 | $207.03 | $716.28 | |
Kaiser Permanente
| Professional | $291.36 | $349.63 | $437.04 | |
United
| Professional | $122.56 | $134.22 | $265.13 | |
Wellpoint
| Professional | $145.68 | $231.63 | $231.63 |