| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $28.97 | |
Aetna
| Professional | $28.59 | $28.97 | $32.36 | |
CareFirst
| Professional | $28.97 | $28.97 | $28.97 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Kaiser Permanente
| Professional | $36.00 | $36.00 | $46.55 | |
United
| Professional | $32.38 | $34.08 | $36.59 | |
Wellpoint
| Professional | $32.36 | $32.36 | $32.36 |