| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,276.32 | $1,276.32 | $1,276.32 | |
Aetna
| Professional | $368.49 | $432.83 | $508.52 | |
CareFirst
| Professional | $526.41 | $584.90 | $742.82 | |
Cigna
| Facility | $310.00 | $398.71 | $756.90 | |
Cigna
| Professional | $320.44 | $461.54 | $1,251.82 | |
Kaiser Permanente
| Professional | $584.90 | $731.13 | $877.35 | |
United
| Professional | $263.20 | $336.98 | $532.25 | |
Wellpoint
| Professional | $228.11 | $288.83 | $292.45 |