| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.52 | $370.28 | $587.72 | |
Aetna
| Professional | $301.27 | $312.58 | $486.97 | |
CareFirst
| Professional | $375.10 | $416.78 | $532.58 | |
Cigna
| Professional | $228.40 | $320.99 | $1,024.52 | |
Kaiser Permanente
| Professional | $416.78 | $500.14 | $795.22 | |
United
| Professional | $179.71 | $240.62 | $366.77 | |
Wellpoint
| Professional | $409.07 | $409.07 | $409.07 |