| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.22 | $681.22 | $810.46 | |
Aetna
| Professional | $127.02 | $130.25 | $450.00 | |
CareFirst
| Professional | $156.29 | $173.66 | $203.53 | |
Cigna
| Professional | $95.22 | $131.44 | $426.55 | |
Kaiser Permanente
| Professional | $173.66 | $217.08 | $331.34 | |
United
| Professional | $104.20 | $145.69 | $290.48 | |
Wellpoint
| Professional | $86.83 | $163.25 | $163.25 |