| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.71 | $78.95 | $550.42 | |
Aetna
| Professional | $3.70 | $11.03 | $67.50 | |
Aetna
| Professional | 52 | $0.98 | $2.52 | $3.53 |
CareFirst
| Professional | $2.08 | $2.20 | $5.77 | |
Cigna
| Professional | $1.86 | $6.15 | $11.56 | |
Kaiser Permanente
| Professional | $5.87 | $8.28 | $15.15 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $5.30 | $7.06 | $12.16 | |
Wellpoint
| Professional | $2.14 | $5.47 | $7.94 |