| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.45 | $273.42 | $840.67 | |
Aetna
| Professional | $220.89 | $308.42 | $482.10 | |
CareFirst
| Professional | $375.10 | $416.78 | $533.48 | |
Cigna
| Professional | $228.40 | $320.45 | $1,024.52 | |
Kaiser Permanente
| Professional | $416.78 | $500.14 | $795.22 | |
United
| Professional | $177.91 | $238.22 | $379.26 | |
Wellpoint
| Professional | $208.39 | $409.07 | $409.07 |