| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.31 | $184.86 | $495.11 | |
Aetna
| Professional | $65.31 | $78.45 | $400.00 | |
CareFirst
| Professional | $77.98 | $86.65 | $99.05 | |
Cigna
| Professional | $58.76 | $90.79 | $171.91 | |
Kaiser Permanente
| Professional | $75.08 | $92.55 | $160.96 | |
United
| Professional | $63.58 | $84.20 | $156.00 | |
Wellpoint
| Professional | $64.61 | $86.34 | $108.20 |