| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.51 | $115.05 | $211.80 | |
Aetna
| Professional | $74.97 | $112.54 | $335.99 | |
CareFirst
| Professional | $85.47 | $102.99 | $156.04 | |
Cigna
| Professional | $88.06 | $140.10 | $221.54 | |
Kaiser Permanente
| Professional | $113.53 | $143.41 | $202.52 | |
United
| Professional | $77.75 | $119.22 | $198.72 | |
Wellpoint
| Professional | $119.51 | $126.64 | $179.27 |