| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.84 | $95.84 | $115.25 | |
Aetna
| Professional | $68.26 | $81.98 | $105.43 | |
CareFirst
| Professional | $88.57 | $88.57 | $110.71 | |
Cigna
| Professional | $72.39 | $109.20 | $187.23 | |
Kaiser Permanente
| Professional | $68.06 | $99.65 | $157.05 | |
United
| Professional | $77.81 | $106.76 | $184.11 | |
Wellpoint
| Professional | $84.75 | $120.40 | $150.75 |