| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.23 | $184.78 | $184.78 | |
Aetna
| Professional | $48.56 | $179.49 | $378.77 | |
CareFirst
| Professional | $57.95 | $59.84 | $80.84 | |
Cigna
| Professional | $49.77 | $177.65 | $448.29 | |
Kaiser Permanente
| Professional | $190.65 | $249.14 | $446.38 | |
United
| Professional | $185.26 | $266.72 | $459.09 | |
Wellpoint
| Professional | $167.56 | $219.25 | $270.72 |