| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.00 | $109.48 | $904.05 | |
Aetna
| Professional | $65.29 | $85.48 | $121.98 | |
CareFirst
| Professional | $89.78 | $99.76 | $121.71 | |
Cigna
| Professional | $71.00 | $98.00 | $152.69 | |
Kaiser Permanente
| Professional | $60.18 | $82.85 | $121.84 | |
United
| Professional | $77.18 | $102.51 | $157.68 | |
Wellpoint
| Professional | $71.54 | $106.47 | $134.57 |