| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.20 | $50.18 | $68.30 | |
Aetna
| Professional | $28.47 | $31.20 | $56.25 | |
CareFirst
| Professional | $35.06 | $35.06 | $35.06 | |
Cigna
| Professional | $33.14 | $33.14 | $33.14 | |
Kaiser Permanente
| Professional | $22.32 | $32.13 | $33.47 | |
United
| Professional | $29.69 | $35.70 | $35.99 | |
Wellpoint
| Professional | $30.00 | $30.00 | $30.00 |