| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.89 | $140.00 | $218.35 | |
Aetna
| Professional | $65.80 | $70.38 | $77.42 | |
CareFirst
| Professional | $73.56 | $73.56 | $73.56 | |
Cigna
| Professional | $80.88 | $80.88 | $80.88 | |
Kaiser Permanente
| Professional | $70.38 | $70.38 | $77.89 | |
United
| Professional | $72.23 | $86.54 | $86.54 | |
Wellpoint
| Professional | $70.38 | $70.38 | $70.38 |