| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.31 | $173.93 | $191.04 | |
CareFirst
| Professional | $9.52 | $10.58 | $14.39 | |
Cigna
| Professional | $13.22 | $13.22 | $16.52 | |
Kaiser Permanente
| Professional | $48.00 | $48.00 | $66.00 | |
Wellpoint
| Professional | $5.25 | $5.33 | $6.74 |