| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.60 | $98.07 | $353.52 | |
Aetna
| Professional | $15.52 | $16.63 | $46.56 | |
CareFirst
| Professional | $16.00 | $17.78 | $26.86 | |
Cigna
| Facility | $11.75 | $14.57 | $28.69 | |
Cigna
| Professional | $11.75 | $19.18 | $32.01 | |
Kaiser Permanente
| Professional | $22.17 | $27.71 | $33.26 | |
United
| Professional | $9.98 | $12.19 | $16.85 | |
Wellpoint
| Professional | $8.65 | $11.09 | $17.72 |