| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.01 | $135.00 | $483.88 | |
Aetna
| Professional | $79.06 | $90.01 | $107.69 | |
CareFirst
| Professional | $121.63 | $133.79 | $169.91 | |
Cigna
| Professional | $66.73 | $90.97 | $298.58 | |
Kaiser Permanente
| Professional | $121.63 | $145.96 | $232.07 | |
United
| Professional | $51.08 | $69.59 | $110.68 | |
Wellpoint
| Professional | $60.82 | $119.38 | $119.38 |