| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $115.40 | $3,097.73 | |
Aetna
| Professional | $63.65 | $96.17 | $257.73 | |
CareFirst
| Professional | $101.78 | $101.78 | $129.26 | |
Cigna
| Professional | $85.52 | $117.20 | $210.21 | |
Kaiser Permanente
| Professional | $124.51 | $145.01 | $263.66 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $82.81 | $118.48 | $235.13 | |
Wellpoint
| Professional | $99.02 | $103.30 | $144.68 |