| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.20 | $140.07 | $394.25 | |
Aetna
| Professional | $92.71 | $142.63 | $171.16 | |
CareFirst
| Professional | $142.63 | $142.63 | $142.63 | |
Cigna
| Professional | $81.36 | $113.61 | $350.89 | |
Kaiser Permanente
| Professional | $142.63 | $171.16 | $252.24 | |
United
| Professional | $85.58 | $95.56 | $158.79 | |
Wellpoint
| Professional | $142.63 | $142.63 | $142.63 |