| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $596.34 | $596.34 | $596.34 | |
Aetna
| Professional | $448.15 | $498.58 | $855.97 | |
CareFirst
| Professional | $587.00 | $587.00 | $748.52 | |
Cigna
| Facility | $632.51 | $632.51 | $632.51 | |
Cigna
| Professional | $461.73 | $461.73 | $632.51 | |
Kaiser Permanente
| Professional | $766.49 | $1,094.98 | $1,576.77 | |
United
| Professional | $389.35 | $546.27 | $870.75 | |
Wellpoint
| Professional | $450.00 | $551.74 | $766.49 |