| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.16 | $293.66 | $445.48 | |
Aetna
| Professional | $48.35 | $70.45 | $154.33 | |
CareFirst
| Professional | $52.78 | $58.64 | $74.47 | |
Cigna
| Professional | $50.88 | $68.86 | $126.55 | |
Kaiser Permanente
| Professional | $70.58 | $85.67 | $134.41 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $54.03 | $72.04 | $130.21 | |
Wellpoint
| Professional | $53.00 | $61.30 | $81.31 |