| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.42 | $120.80 | $133.19 | |
Aetna
| Professional | $15.88 | $18.05 | $51.78 | |
CareFirst
| Professional | $17.32 | $19.25 | $26.18 | |
Cigna
| Facility | $11.80 | $15.81 | $31.14 | |
Cigna
| Professional | $11.80 | $18.73 | $34.59 | |
Kaiser Permanente
| Professional | $24.06 | $30.08 | $36.09 | |
United
| Professional | $10.11 | $12.03 | $21.89 | |
Wellpoint
| Professional | $9.38 | $12.03 | $19.13 |