| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.49 | $116.96 | $275.38 | |
Aetna
| Professional | $84.48 | $84.49 | $96.32 | |
CareFirst
| Professional | $79.52 | $79.52 | $79.52 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
Kaiser Permanente
| Professional | $104.61 | $117.48 | $156.91 | |
United
| Professional | $82.00 | $107.81 | $130.53 | |
Wellpoint
| Professional | $38.75 | $38.75 | $38.75 |