| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $3,388.44 | $4,073.80 | |
Aetna
| Professional | $15.85 | $52.48 | $977.24 | |
CareFirst
| Professional | $19.05 | $20.89 | $30.20 | |
Cigna
| Professional | $12.30 | $23.99 | $61.66 | |
Kaiser Permanente
| Professional | $24.55 | $30.20 | $39.81 | |
United
| Professional | $16.22 | $25.70 | $51.29 | |
Wellpoint
| Professional | $24.55 | $34.67 | $39.81 |