| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.20 | $94.20 | $94.20 | |
Aetna
| Professional | $79.73 | $135.44 | $231.82 | |
CareFirst
| Professional | $80.92 | $89.91 | $103.40 | |
Cigna
| Professional | $83.25 | $137.30 | $239.62 | |
Kaiser Permanente
| Professional | $137.16 | $175.48 | $299.95 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $111.94 | $154.71 | $313.97 | |
Wellpoint
| Professional | $97.13 | $114.03 | $177.33 |