| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $1.98 | |
Aetna
| Professional | $155.51 | $554.00 | $758.06 | |
CareFirst
| Professional | $162.19 | $163.55 | $197.90 | |
Cigna
| Professional | $145.19 | $359.43 | $937.75 | |
Kaiser Permanente
| Professional | $332.03 | $571.08 | $1,021.33 | |
United
| Professional | $501.74 | $706.61 | $1,041.60 | |
Wellpoint
| Professional | $442.70 | $442.70 | $626.33 |