| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.41 | $376.25 | $524.13 | |
Aetna
| Professional | $137.05 | $189.83 | $400.00 | |
CareFirst
| Professional | $148.16 | $148.16 | $189.64 | |
Cigna
| Professional | $98.16 | $131.69 | $535.35 | |
Kaiser Permanente
| Professional | $185.20 | $222.24 | $277.80 | |
United
| Professional | $77.78 | $92.60 | $166.68 | |
Wellpoint
| Professional | $92.60 | $92.60 | $92.60 |