| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $95.50 | |
Aetna
| Professional | $58.88 | $70.79 | $85.11 | |
CareFirst
| Professional | $72.44 | $79.43 | $97.72 | |
Cigna
| Professional | $66.07 | $91.20 | $151.36 | |
Kaiser Permanente
| Professional | $52.48 | $72.44 | $104.71 | |
United
| Facility | $72.44 | $87.10 | $120.23 | |
United
| Professional | $63.10 | $91.20 | $147.91 | |
Wellpoint
| Professional | $91.20 | $123.03 | $141.25 |