| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.34 | $80.86 | $125.67 | |
Aetna
| Professional | $59.04 | $92.58 | $240.01 | |
CareFirst
| Professional | $81.55 | $85.84 | $146.63 | |
Cigna
| Professional | $72.06 | $125.12 | $201.70 | |
Kaiser Permanente
| Professional | $79.79 | $100.79 | $166.07 | |
United
| Professional | $72.98 | $116.28 | $192.26 | |
Wellpoint
| Professional | $85.07 | $88.44 | $127.61 |