| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.40 | $402.78 | $463.50 | |
Aetna
| Professional | $213.43 | $303.39 | $331.71 | |
CareFirst
| Professional | $323.62 | $323.62 | $411.00 | |
Cigna
| Professional | $185.06 | $266.02 | $993.93 | |
Kaiser Permanente
| Professional | $404.52 | $485.42 | $606.78 | |
United
| Professional | $137.91 | $182.03 | $327.62 | |
Wellpoint
| Professional | $202.26 | $321.58 | $321.58 |