| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.68 | $85.68 | $96.76 | |
Aetna
| Professional | $60.62 | $71.20 | $86.55 | |
CareFirst
| Professional | $77.91 | $77.91 | $96.28 | |
Cigna
| Professional | $63.95 | $90.47 | $157.03 | |
Kaiser Permanente
| Professional | $56.23 | $82.18 | $129.75 | |
United
| Professional | $63.07 | $96.42 | $162.77 | |
Wellpoint
| Professional | $70.12 | $99.48 | $124.71 |