| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.08 | $88.73 | $142.40 | |
Aetna
| Professional | $30.01 | $31.28 | $40.60 | |
CareFirst
| Professional | $32.44 | $32.44 | $41.20 | |
Cigna
| Professional | $22.13 | $27.73 | $99.80 | |
Kaiser Permanente
| Professional | $40.54 | $48.66 | $67.40 | |
United
| Professional | $17.03 | $20.05 | $34.64 | |
Wellpoint
| Professional | $20.28 | $34.45 | $34.45 |