| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.97 | $60.97 | $60.97 | |
Aetna
| Professional | $47.13 | $59.96 | $69.01 | |
CareFirst
| Professional | $65.56 | $65.56 | $92.45 | |
Cigna
| Professional | $84.67 | $84.67 | $101.44 | |
Kaiser Permanente
| Professional | $58.79 | $70.23 | $94.71 | |
United
| Professional | $49.04 | $67.38 | $102.30 | |
Wellpoint
| Professional | $3,804.27 | $3,804.27 | $3,804.27 |