| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.70 | $384.76 | $509.42 | |
Aetna
| Professional | $85.00 | $217.94 | $241.51 | |
CareFirst
| Professional | $291.57 | $323.97 | $411.44 | |
Cigna
| Professional | $161.30 | $232.37 | $723.52 | |
Kaiser Permanente
| Professional | $294.52 | $353.42 | $561.94 | |
United
| Professional | $129.59 | $168.75 | $268.01 | |
Wellpoint
| Professional | $147.26 | $289.06 | $289.06 |