| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.09 | $909.40 | $935.31 | |
Aetna
| Professional | $97.71 | $112.75 | $170.89 | |
CareFirst
| Professional | $150.33 | $165.36 | $188.51 | |
Cigna
| Professional | $79.37 | $93.48 | $369.41 | |
Kaiser Permanente
| Professional | $150.33 | $180.40 | $225.50 | |
United
| Professional | $63.14 | $67.65 | $135.30 | |
Wellpoint
| Professional | $75.17 | $119.51 | $119.51 |