| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.47 | $65.45 | $219.59 | |
Aetna
| Professional | $9.09 | $9.61 | $9.61 | |
CareFirst
| Professional | $21.75 | $21.75 | $21.75 | |
Cigna
| Professional | $25.13 | $26.32 | $26.51 | |
Kaiser Permanente
| Professional | $9.67 | $11.12 | $14.50 | |
United
| Professional | $9.44 | $13.20 | $22.70 | |
Wellpoint
| Professional | $10.90 | $10.90 | $10.90 |