| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.59 | $257.12 | $791.43 | |
Aetna
| Professional | $151.02 | $156.69 | $192.50 | |
CareFirst
| Professional | $208.92 | $229.81 | $372.68 | |
Cigna
| Professional | $114.47 | $160.63 | $513.47 | |
Kaiser Permanente
| Professional | $208.92 | $250.70 | $398.62 | |
United
| Professional | $94.01 | $119.71 | $188.03 | |
Wellpoint
| Professional | $104.46 | $205.05 | $205.05 |