| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.33 | $173.78 | $257.04 | |
Aetna
| Professional | $8.91 | $11.75 | $42.66 | |
CareFirst
| Professional | $4.07 | $10.00 | $12.59 | |
Cigna
| Facility | $6.61 | $8.32 | $16.22 | |
Cigna
| Professional | $5.75 | $7.76 | $30.90 | |
Kaiser Permanente
| Professional | $12.59 | $13.80 | $19.05 | |
United
| Facility | $5.25 | $6.03 | $9.55 | |
United
| Professional | $5.62 | $6.31 | $11.48 | |
Wellpoint
| Professional | $10.00 | $10.00 | $10.00 |