| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.59 | $108.90 | $426.22 | |
Aetna
| Professional | $64.75 | $73.58 | $75.23 | |
CareFirst
| Professional | $59.55 | $68.68 | $89.99 | |
Cigna
| Facility | $23.28 | $44.91 | $44.91 | |
Cigna
| Professional | $45.78 | $82.71 | $225.65 | |
Kaiser Permanente
| Professional | $98.11 | $122.64 | $147.16 | |
United
| Professional | $38.07 | $44.15 | $87.92 | |
Wellpoint
| Professional | $38.26 | $49.06 | $78.00 |