| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.10 | $99.13 | $150.61 | |
Aetna
| Professional | $16.78 | $23.04 | $23.38 | |
CareFirst
| Professional | $20.91 | $25.20 | $38.08 | |
Cigna
| Facility | $13.68 | $17.87 | $33.40 | |
Cigna
| Professional | $13.68 | $27.42 | $42.23 | |
Kaiser Permanente
| Professional | $25.81 | $32.26 | $38.72 | |
United
| Professional | $11.61 | $15.49 | $21.00 | |
Wellpoint
| Professional | $10.07 | $12.91 | $25.33 |