| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.66 | $215.63 | $469.26 | |
Aetna
| Professional | $105.81 | $108.36 | $138.69 | |
CareFirst
| Professional | $143.90 | $143.90 | $143.90 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
Kaiser Permanente
| Professional | $118.97 | $150.75 | $235.81 | |
United
| Professional | $106.24 | $106.24 | $127.48 | |
Wellpoint
| Professional | $103.47 | $103.47 | $103.47 |