| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.61 | $142.36 | $167.49 | |
Aetna
| Professional | $116.27 | $155.03 | $430.81 | |
CareFirst
| Professional | $136.16 | $136.16 | $235.57 | |
Cigna
| Professional | $121.56 | $206.06 | $327.55 | |
Kaiser Permanente
| Professional | $132.44 | $167.29 | $272.35 | |
United
| Professional | $128.44 | $191.20 | $323.43 | |
Wellpoint
| Professional | $141.07 | $147.94 | $211.61 |