| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.94 | $226.94 | $352.84 | |
Aetna
| Professional | $226.94 | $352.84 | $575.28 | |
CareFirst
| Professional | $541.44 | $541.44 | $541.44 | |
Cigna
| Professional | $358.29 | $358.29 | $358.29 | |
Kaiser Permanente
| Professional | $428.22 | $542.59 | $827.24 | |
United
| Professional | $676.80 | $676.80 | $690.34 | |
Wellpoint
| Professional | $257.18 | $257.18 | $257.18 |