| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.40 | $82.93 | $137.69 | |
Aetna
| Professional | $73.48 | $73.48 | $138.16 | |
CareFirst
| Professional | $46.41 | $46.41 | $46.41 | |
Cigna
| Professional | $50.06 | $50.06 | $52.12 | |
Kaiser Permanente
| Professional | $70.29 | $84.35 | $112.24 | |
United
| Professional | $30.87 | $33.07 | $63.96 | |
Wellpoint
| Professional | $30.94 | $30.94 | $30.94 |