| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.63 | $198.66 | $263.39 | |
Aetna
| Professional | $90.00 | $133.47 | $240.28 | |
CareFirst
| Professional | $119.43 | $119.43 | $119.43 | |
Cigna
| Professional | $131.13 | $131.13 | $131.13 | |
Kaiser Permanente
| Professional | $126.45 | $133.47 | $133.47 | |
United
| Professional | $115.91 | $140.50 | $140.50 | |
Wellpoint
| Professional | $133.47 | $133.47 | $133.47 |