| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.45 | $326.25 | $490.61 | |
Aetna
| Professional | $142.00 | $187.08 | $219.82 | |
CareFirst
| Professional | $219.82 | $219.82 | $219.82 | |
Cigna
| Professional | $241.37 | $241.37 | $241.37 | |
Kaiser Permanente
| Professional | $267.00 | $267.00 | $267.00 | |
United
| Professional | $213.35 | $258.61 | $258.61 | |
Wellpoint
| Professional | $215.51 | $215.51 | $215.51 |