| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.14 | $155.07 | $347.14 | |
Aetna
| Professional | $75.00 | $97.28 | $100.14 | |
CareFirst
| Professional | $113.79 | $113.79 | $113.79 | |
Cigna
| Professional | $106.62 | $106.62 | $106.62 | |
Kaiser Permanente
| Professional | $44.63 | $64.27 | $103.91 | |
United
| Professional | $95.63 | $115.46 | $115.92 | |
Wellpoint
| Professional | $92.95 | $92.95 | $92.95 |