| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.63 | $409.41 | $935.80 | |
Aetna
| Professional | $210.92 | $289.50 | $353.25 | |
CareFirst
| Professional | $313.63 | $313.63 | $335.55 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Kaiser Permanente
| Professional | $355.28 | $355.28 | $355.28 | |
United
| Professional | $325.80 | $394.76 | $394.91 | |
Wellpoint
| Professional | $306.86 | $306.86 | $306.86 |