| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.43 | $109.43 | $186.96 | |
Aetna
| Professional | $90.44 | $91.67 | $111.74 | |
CareFirst
| Professional | $121.00 | $134.44 | $170.74 | |
Cigna
| Professional | $66.92 | $93.97 | $300.19 | |
Kaiser Permanente
| Professional | $122.22 | $146.66 | $233.20 | |
United
| Professional | $53.78 | $70.03 | $111.22 | |
Wellpoint
| Professional | $61.11 | $119.96 | $119.96 |