| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.64 | $66.64 | $66.64 | |
Aetna
| Professional | $47.44 | $53.39 | $74.27 | |
CareFirst
| Professional | $53.96 | $59.96 | $72.55 | |
Cigna
| Professional | $44.65 | $72.97 | $135.82 | |
Kaiser Permanente
| Professional | $38.04 | $54.79 | $77.15 | |
United
| Professional | $42.74 | $61.06 | $103.72 | |
Wellpoint
| Professional | $46.83 | $59.14 | $74.09 |