| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.89 | $92.58 | $432.92 | |
Aetna
| Professional | $48.56 | $173.60 | $488.14 | |
CareFirst
| Professional | $57.50 | $59.38 | $80.20 | |
Cigna
| Professional | $49.42 | $162.24 | $378.33 | |
Kaiser Permanente
| Professional | $174.12 | $227.41 | $402.07 | |
United
| Professional | $152.05 | $226.28 | $404.71 | |
Wellpoint
| Professional | $139.37 | $200.24 | $247.61 |