| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.43 | $655.68 | $1,056.25 | |
Aetna
| Professional | $175.00 | $206.12 | $386.20 | |
CareFirst
| Professional | $274.83 | $302.31 | $390.75 | |
Cigna
| Professional | $145.66 | $195.50 | $793.56 | |
Kaiser Permanente
| Professional | $274.83 | $329.80 | $412.25 | |
United
| Professional | $115.43 | $131.19 | $240.25 | |
Wellpoint
| Professional | $137.41 | $137.41 | $137.41 |