| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.21 | $49.69 | $76.95 | |
Aetna
| Professional | $10.00 | $22.35 | $26.82 | |
CareFirst
| Professional | $22.75 | $22.75 | $22.75 | |
Cigna
| Professional | $22.95 | $22.95 | $22.95 | |
Kaiser Permanente
| Professional | $18.55 | $23.22 | $23.22 | |
United
| Professional | $20.10 | $25.04 | $25.14 | |
Wellpoint
| Professional | $22.35 | $22.35 | $22.35 |