| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.05 | $272.72 | $1,150.51 | |
Aetna
| Professional | $96.30 | $137.05 | $138.90 | |
CareFirst
| Professional | $148.16 | $148.16 | $168.90 | |
Cigna
| Professional | $97.78 | $115.17 | $455.52 | |
Kaiser Permanente
| Professional | $185.20 | $222.24 | $277.80 | |
United
| Professional | $77.78 | $92.60 | $168.53 | |
Wellpoint
| Professional | $92.60 | $147.22 | $147.22 |