| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.18 | $314.18 | $330.45 | |
Aetna
| Professional | $75.11 | $87.03 | $282.43 | |
CareFirst
| Professional | $103.43 | $103.43 | $103.43 | |
Cigna
| Professional | $81.20 | $101.85 | $180.31 | |
Kaiser Permanente
| Professional | $82.07 | $93.30 | $132.51 | |
United
| Professional | $68.84 | $101.54 | $196.94 | |
Wellpoint
| Professional | $78.98 | $86.39 | $120.47 |