| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.00 | $58.22 | $79.52 | |
Aetna
| Professional | $16.00 | $20.12 | $42.43 | |
CareFirst
| Professional | $20.03 | $20.03 | $20.03 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
Kaiser Permanente
| Professional | $33.22 | $35.00 | $35.00 | |
United
| Professional | $22.35 | $23.53 | $26.82 | |
Wellpoint
| Professional | $22.35 | $22.35 | $22.35 |