| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.69 | $283.22 | $478.42 | |
Aetna
| Professional | $137.99 | $177.56 | $236.30 | |
CareFirst
| Professional | $158.87 | $158.87 | $158.87 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
Kaiser Permanente
| Professional | $177.56 | $177.56 | $336.42 | |
United
| Professional | $154.19 | $186.90 | $186.90 | |
Wellpoint
| Professional | $168.30 | $168.30 | $168.30 |