| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.44 | $30.44 | $30.44 | |
Aetna
| Professional | $30.44 | $30.44 | $30.44 | |
CareFirst
| Professional | $28.65 | $28.65 | $28.65 | |
Cigna
| Professional | $33.42 | $33.42 | $33.42 | |
Kaiser Permanente
| Professional | $32.22 | $52.55 | $71.66 | |
United
| Professional | $30.74 | $35.61 | $36.89 | |
Wellpoint
| Professional | $25.43 | $25.43 | $25.43 |