| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.68 | $48.50 | $791.04 | |
Aetna
| Professional | $19.94 | $39.61 | $57.54 | |
CareFirst
| Professional | $24.56 | $27.29 | $33.29 | |
Cigna
| Professional | $30.00 | $48.00 | $66.00 | |
Kaiser Permanente
| Professional | $19.18 | $34.61 | $57.36 | |
United
| Professional | $38.57 | $47.88 | $77.13 | |
Wellpoint
| Professional | $40.76 | $49.60 | $61.95 |