| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $127.55 | $616.74 | |
Aetna
| Professional | $90.00 | $127.54 | $145.41 | |
CareFirst
| Professional | $143.32 | $143.32 | $143.32 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
Kaiser Permanente
| Professional | $67.30 | $96.91 | $121.49 | |
United
| Professional | $120.06 | $134.99 | $144.07 | |
Wellpoint
| Professional | $117.63 | $117.63 | $117.63 |