| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.77 | $249.33 | $293.61 | |
Aetna
| Professional | $128.00 | $150.00 | $150.00 | |
CareFirst
| Professional | $160.00 | $160.00 | $182.40 | |
Cigna
| Professional | $106.00 | $106.00 | $106.00 | |
Kaiser Permanente
| Professional | $200.00 | $240.00 | $300.00 | |
United
| Professional | $84.00 | $100.00 | $182.00 | |
Wellpoint
| Professional | $100.00 | $100.00 | $100.00 |