| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.16 | $98.16 | $98.16 | |
Aetna
| Professional | $25.57 | $83.49 | $103.06 | |
CareFirst
| Professional | $80.62 | $80.62 | $87.83 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Kaiser Permanente
| Professional | $93.00 | $98.16 | $98.16 | |
United
| Professional | $86.23 | $103.33 | $103.48 | |
Wellpoint
| Professional | $83.49 | $83.49 | $83.49 |