| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.24 | $1,625.86 | $3,985.17 | |
Aetna
| Professional | $91.52 | $95.95 | $245.27 | |
CareFirst
| Professional | $122.44 | $136.05 | $172.78 | |
Cigna
| Professional | $67.81 | $97.60 | $304.22 | |
Kaiser Permanente
| Professional | $123.68 | $148.41 | $235.98 | |
United
| Professional | $55.66 | $70.87 | $112.55 | |
Wellpoint
| Professional | $61.84 | $121.39 | $121.39 |