| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.12 | $19.22 | $446.89 | |
Aetna
| Professional | $217.71 | $237.35 | $322.49 | |
CareFirst
| Professional | $247.50 | $275.00 | $332.75 | |
Cigna
| Professional | $222.06 | $355.43 | $767.37 | |
Kaiser Permanente
| Professional | $211.42 | $310.08 | $422.85 | |
United
| Professional | $176.56 | $253.10 | $438.60 | |
Wellpoint
| Professional | $198.75 | $198.75 | $198.75 |