| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.15 | $103.22 | $933.41 | |
Aetna
| Professional | $65.83 | $89.41 | $133.96 | |
CareFirst
| Professional | $81.02 | $90.02 | $109.82 | |
Cigna
| Professional | $75.38 | $102.00 | $152.00 | |
Kaiser Permanente
| Professional | $61.00 | $82.07 | $129.53 | |
United
| Professional | $79.20 | $106.17 | $165.92 | |
Wellpoint
| Professional | $85.14 | $112.00 | $142.01 |