| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.21 | $126.04 | $173.12 | |
Aetna
| Professional | $92.18 | $140.44 | $340.01 | |
CareFirst
| Professional | $116.44 | $116.44 | $221.24 | |
Cigna
| Professional | $111.46 | $176.77 | $269.52 | |
Kaiser Permanente
| Professional | $125.46 | $158.47 | $222.91 | |
United
| Professional | $99.68 | $152.84 | $263.74 | |
Wellpoint
| Professional | $133.71 | $139.56 | $200.57 |