| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.11 | $248.11 | $248.11 | |
Aetna
| Professional | $431.86 | $516.16 | $824.85 | |
CareFirst
| Professional | $634.37 | $634.37 | $721.30 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $512.48 | $702.03 | |
Kaiser Permanente
| Professional | $738.61 | $1,055.16 | $1,519.43 | |
United
| Professional | $435.46 | $526.41 | $839.10 | |
Wellpoint
| Professional | $343.50 | $578.59 | $738.61 |