| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.30 | $805.56 | $923.97 | |
Aetna
| Professional | $153.52 | $155.60 | $785.17 | |
CareFirst
| Professional | $207.46 | $228.21 | $806.02 | |
Cigna
| Professional | $113.75 | $163.65 | $599.66 | |
Kaiser Permanente
| Professional | $207.46 | $248.95 | $395.83 | |
United
| Professional | $93.36 | $118.87 | $186.71 | |
Wellpoint
| Professional | $103.73 | $203.62 | $203.62 |