| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.84 | $89.77 | $160.47 | |
Aetna
| Professional | $25.98 | $36.36 | $43.66 | |
CareFirst
| Professional | $42.84 | $42.84 | $45.15 | |
Cigna
| Professional | $47.32 | $47.32 | $47.32 | |
Kaiser Permanente
| Professional | $37.36 | $37.36 | $44.24 | |
United
| Professional | $42.25 | $49.16 | $50.70 | |
Wellpoint
| Professional | $33.47 | $33.47 | $33.47 |