| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.09 | $67.98 | $107.22 | |
Aetna
| Professional | $13.53 | $18.55 | $18.87 | |
CareFirst
| Professional | $16.86 | $19.21 | $30.94 | |
Cigna
| Facility | $11.03 | $14.40 | $26.93 | |
Cigna
| Professional | $11.03 | $22.11 | $33.96 | |
Kaiser Permanente
| Professional | $20.81 | $26.01 | $31.22 | |
United
| Professional | $9.36 | $12.49 | $17.57 | |
Wellpoint
| Professional | $8.11 | $10.41 | $20.43 |