| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.78 | $77.94 | $91.70 | |
Aetna
| Professional | $55.02 | $73.36 | $95.35 | |
CareFirst
| Professional | $71.75 | $71.75 | $71.75 | |
Cigna
| Professional | $68.89 | $165.50 | $218.30 | |
Kaiser Permanente
| Professional | $69.50 | $94.04 | $122.66 | |
United
| Professional | $56.72 | $83.41 | $172.75 | |
Wellpoint
| Professional | $82.32 | $82.32 | $94.67 |