| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.31 | $200.63 | $302.06 | |
Aetna
| Professional | $326.08 | $411.37 | $799.66 | |
CareFirst
| Professional | $427.00 | $427.00 | $544.66 | |
Cigna
| Facility | $460.00 | $460.00 | $460.00 | |
Cigna
| Professional | $335.80 | $335.80 | $460.00 | |
Kaiser Permanente
| Professional | $557.73 | $796.75 | $1,147.32 | |
United
| Professional | $308.83 | $397.49 | $633.60 | |
Wellpoint
| Professional | $102.00 | $410.35 | $557.73 |