| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.52 | $149.94 | $347.75 | |
Aetna
| Professional | $47.80 | $66.48 | $69.91 | |
CareFirst
| Professional | $65.36 | $71.90 | $91.31 | |
Cigna
| Professional | $35.88 | $51.61 | $160.96 | |
Kaiser Permanente
| Professional | $65.36 | $78.43 | $124.71 | |
United
| Professional | $28.76 | $37.45 | $59.48 | |
Wellpoint
| Professional | $32.68 | $64.15 | $64.15 |