| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.56 | $78.56 | $78.56 | |
Aetna
| Professional | $39.19 | $43.89 | $61.62 | |
CareFirst
| Professional | $45.24 | $50.27 | $60.83 | |
Cigna
| Professional | $38.06 | $60.86 | $113.49 | |
Kaiser Permanente
| Professional | $32.75 | $47.11 | $66.00 | |
United
| Facility | $69.39 | $69.39 | $69.39 | |
United
| Professional | $35.22 | $47.80 | $87.14 | |
Wellpoint
| Professional | $38.65 | $50.60 | $63.29 |