| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.58 | $611.98 | $922.93 | |
Aetna
| Professional | $172.47 | $174.80 | $462.21 | |
CareFirst
| Professional | $209.76 | $233.07 | $296.00 | |
Cigna
| Professional | $127.73 | $169.87 | $573.02 | |
Kaiser Permanente
| Professional | $233.07 | $279.68 | $412.99 | |
United
| Professional | $97.89 | $123.22 | $212.09 | |
Wellpoint
| Professional | $116.54 | $116.54 | $116.54 |