| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.13 | $114.98 | $310.94 | |
Aetna
| Professional | $52.54 | $69.40 | $213.43 | |
CareFirst
| Professional | $45.12 | $53.15 | $61.20 | |
Cigna
| Facility | $72.00 | $102.62 | $188.49 | |
Cigna
| Professional | $60.51 | $84.29 | $151.16 | |
Kaiser Permanente
| Professional | $70.81 | $83.75 | $118.02 | |
United
| Professional | $53.51 | $78.41 | $133.38 | |
Wellpoint
| Professional | $63.99 | $63.99 | $114.05 |