| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.18 | $107.20 | $167.38 | |
Aetna
| Professional | $6.53 | $7.42 | $31.38 | |
CareFirst
| Professional | $8.01 | $9.23 | $13.94 | |
Cigna
| Facility | $5.24 | $6.54 | $12.80 | |
Cigna
| Professional | $5.24 | $10.02 | $15.24 | |
Kaiser Permanente
| Professional | $9.77 | $11.87 | $14.84 | |
United
| Professional | $4.45 | $5.74 | $9.00 | |
Wellpoint
| Professional | $3.86 | $4.95 | $9.27 |