| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.43 | $49.50 | $86.41 | |
Aetna
| Professional | $20.00 | $40.00 | $49.50 | |
CareFirst
| Professional | $44.29 | $44.29 | $44.29 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
Kaiser Permanente
| Professional | $46.89 | $49.50 | $49.50 | |
United
| Professional | $43.10 | $52.10 | $52.10 | |
Wellpoint
| Professional | $36.85 | $36.85 | $36.85 |