| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,084.86 | $1,137.64 | $1,234.88 | |
Aetna
| Professional | $134.94 | $203.12 | $292.39 | |
CareFirst
| Professional | $148.50 | $165.00 | $199.65 | |
Cigna
| Professional | $201.59 | $318.18 | $712.51 | |
Kaiser Permanente
| Professional | $213.47 | $313.10 | $426.95 | |
United
| Professional | $106.76 | $165.00 | $303.01 | |
Wellpoint
| Professional | $119.25 | $119.25 | $119.25 |