| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.64 | $360.64 | $361.01 | |
Aetna
| Professional | $262.63 | $355.61 | $408.95 | |
CareFirst
| Professional | $225.00 | $225.00 | $418.32 | |
Cigna
| Professional | $440.51 | $440.51 | $440.51 | |
Kaiser Permanente
| Professional | $442.64 | $520.75 | $720.61 | |
United
| Professional | $520.75 | $520.75 | $552.00 | |
Wellpoint
| Professional | $250.00 | $250.00 | $250.00 |