| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $316.23 | $331.13 | |
Aetna
| Professional | $75.86 | $97.72 | $363.08 | |
CareFirst
| Professional | $81.28 | $91.20 | $97.72 | |
Cigna
| Professional | $79.43 | $100.00 | $177.83 | |
Kaiser Permanente
| Professional | $74.13 | $87.10 | $128.82 | |
United
| Professional | $70.79 | $102.33 | $165.96 | |
Wellpoint
| Professional | $79.43 | $97.72 | $123.03 |