| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.14 | $112.14 | $112.14 | |
Aetna
| Professional | $112.14 | $156.12 | $234.18 | |
CareFirst
| Professional | $131.44 | $131.44 | $131.44 | |
Cigna
| Professional | $94.26 | $94.26 | $94.26 | |
Kaiser Permanente
| Professional | $231.02 | $298.02 | $369.81 | |
United
| Professional | $101.15 | $115.25 | $171.56 | |
Wellpoint
| Professional | $97.69 | $97.69 | $97.69 |