| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Aetna
| Professional | $21.10 | $29.26 | $64.80 | |
CareFirst
| Professional | $25.74 | $25.74 | $32.69 | |
Cigna
| Professional | $23.00 | $32.32 | $57.61 | |
Kaiser Permanente
| Professional | $33.65 | $41.68 | $73.17 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $28.30 | $34.61 | $64.48 | |
Wellpoint
| Professional | $26.30 | $28.62 | $38.72 |