| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.61 | $283.20 | $830.97 | |
Aetna
| Professional | $180.31 | $283.20 | $349.50 | |
CareFirst
| Professional | $333.19 | $333.19 | $346.40 | |
Cigna
| Professional | $323.87 | $323.87 | $323.87 | |
Kaiser Permanente
| Professional | $289.42 | $311.76 | $434.13 | |
United
| Professional | $289.17 | $346.40 | $346.40 | |
Wellpoint
| Professional | $275.16 | $275.16 | $275.16 |