| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.89 | $156.60 | $582.96 | |
Aetna
| Professional | $15.53 | $65.04 | $143.82 | |
CareFirst
| Professional | $14.52 | $16.55 | $26.52 | |
Cigna
| Facility | $9.50 | $12.42 | $23.20 | |
Cigna
| Professional | $9.50 | $19.05 | $29.17 | |
Kaiser Permanente
| Professional | $17.93 | $22.41 | $26.90 | |
United
| Professional | $7.53 | $10.76 | $13.63 | |
Wellpoint
| Professional | $6.99 | $8.97 | $17.60 |