| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.57 | $149.13 | $432.58 | |
Aetna
| Professional | $80.14 | $83.40 | $190.00 | |
CareFirst
| Professional | $82.43 | $82.43 | $82.57 | |
Cigna
| Professional | $82.57 | $82.57 | $105.17 | |
Kaiser Permanente
| Professional | $82.58 | $82.58 | $117.48 | |
United
| Professional | $82.58 | $82.58 | $87.53 | |
Wellpoint
| Professional | $83.36 | $83.36 | $83.36 |