| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.48 | $80.28 | $196.00 | |
Aetna
| Professional | $49.81 | $78.44 | $184.66 | |
CareFirst
| Professional | $60.03 | $66.78 | $106.51 | |
Cigna
| Professional | $61.13 | $96.26 | $143.36 | |
Kaiser Permanente
| Professional | $76.27 | $96.34 | $125.93 | |
United
| Professional | $54.32 | $81.45 | $162.24 | |
Wellpoint
| Professional | $80.28 | $84.89 | $120.42 |