| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.56 | $66.56 | $201.58 | |
Aetna
| Professional | $55.97 | $66.56 | $91.85 | |
CareFirst
| Professional | $74.79 | $74.79 | $74.79 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
Kaiser Permanente
| Professional | $68.92 | $68.92 | $68.92 | |
United
| Professional | $63.70 | $73.79 | $76.58 | |
Wellpoint
| Professional | $61.22 | $61.22 | $61.22 |