| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.86 | $295.77 | $500.13 | |
Aetna
| Professional | $308.42 | $312.58 | $371.62 | |
CareFirst
| Professional | $375.10 | $416.78 | $475.13 | |
Cigna
| Professional | $228.40 | $328.91 | $1,024.52 | |
Kaiser Permanente
| Professional | $416.78 | $500.14 | $795.22 | |
United
| Professional | $175.05 | $240.12 | $375.10 | |
Wellpoint
| Professional | $208.39 | $409.07 | $409.07 |