| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.21 | $237.91 | $375.73 | |
Aetna
| Professional | $28.52 | $70.00 | $98.89 | |
CareFirst
| Professional | $57.04 | $62.74 | $218.64 | |
Cigna
| Professional | $30.23 | $40.47 | $164.58 | |
Kaiser Permanente
| Professional | $57.04 | $68.45 | $85.56 | |
United
| Professional | $23.96 | $26.24 | $51.91 | |
Wellpoint
| Professional | $28.52 | $45.35 | $45.35 |