| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $25.09 | $788.35 | |
Aetna
| Professional | $32.96 | $54.20 | $145.25 | |
CareFirst
| Professional | $57.40 | $57.40 | $72.90 | |
Cigna
| Professional | $49.73 | $69.09 | $126.26 | |
Kaiser Permanente
| Professional | $74.81 | $86.74 | $158.84 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $48.37 | $71.51 | $131.99 | |
Wellpoint
| Professional | $57.82 | $58.28 | $86.74 |