| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.12 | $111.33 | $217.32 | |
Aetna
| Professional | $37.00 | $39.81 | $49.64 | |
CareFirst
| Professional | $49.34 | $49.34 | $49.34 | |
Cigna
| Professional | $54.60 | $54.60 | $54.60 | |
Kaiser Permanente
| Professional | $39.81 | $39.81 | $51.86 | |
United
| Professional | $49.05 | $57.62 | $57.62 | |
Wellpoint
| Professional | $38.63 | $38.63 | $38.63 |