| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.69 | $301.70 | $1,124.44 | |
Aetna
| Professional | $22.76 | $39.29 | $70.19 | |
CareFirst
| Professional | $20.85 | $20.85 | $26.48 | |
Cigna
| Professional | $18.02 | $32.84 | $85.75 | |
Kaiser Permanente
| Professional | $37.71 | $51.17 | $95.42 | |
United
| Professional | $28.99 | $47.78 | $51.27 | |
Wellpoint
| Professional | $25.74 | $32.38 | $51.03 |