| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.92 | $135.88 | $205.80 | |
Aetna
| Professional | $53.41 | $68.01 | $218.47 | |
CareFirst
| Professional | $64.05 | $71.17 | $81.66 | |
Cigna
| Facility | $77.70 | $77.70 | $77.70 | |
Cigna
| Professional | $47.41 | $75.56 | $138.13 | |
Kaiser Permanente
| Professional | $61.08 | $75.18 | $129.10 | |
United
| Professional | $52.30 | $70.78 | $115.98 | |
Wellpoint
| Professional | $59.63 | $70.23 | $88.02 |